Keith Penera Podiatry Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KEITH PENERA PODIATRY CORPORATION

Practice address

18080 Beach Blvd Ste 102
Huntington Beach, CA 92648-1343

Phone

(714) 841-5055

NPI assigned

May 24, 2025

Last updated

Sep 3, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith E Penera, DPMNPI 1982834347

Title

President

Phone

(714) 585-6178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith E Penera, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • San Juan Capistrano, CA
  • NPI 1982834347
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1154114973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18080 BEACH BLVD STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481343",
            "telephone_number": "714-841-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18080 BEACH BLVD STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481343",
            "telephone_number": "714-841-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH PENERA PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "PENERA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-585-6178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Maria Keblis, LMFT
• Josie Keener
• Keep Going First Class
• Susan Gay Kehr, M.F.C.
• Jennifer R Keiner, MD
• Megan Kelly
• Ken Yabuki D.D.S. Inc.
• Kenneth S Johnson, M.D., Inc.
• Kenneth W. Hardy O.D., Inc.
• Grace Kenyon

• Foot & Ankle Surgery Podiatrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.