Van Arthur Pena, PH.D., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G39706 Issued in CA

Practice address

6136 Batesole Dr
Santa Rosa, CA 95404-9504

Phone

(707) 542-8107

Fax

(707) 542-8107

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154488146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 BATESOLE DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954049504",
            "telephone_number": "707-542-8107",
            "fax_number": "707-542-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 BATESOLE DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954049504",
            "telephone_number": "707-542-8107",
            "fax_number": "707-542-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "VAN",
        "middle_name": "ARTHUR",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G39706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Jeannette Pelot, MFT
• Derrick Kyle Pelton, NP
• Peltz and Associates Physical Therapy Inc
• Aaron Peltz, D.P.T.
• Lawrence Peltz
• Albert Peng, M.D.
• Jonathan A. Peng, M.D.
• Emily G Pengelly, PA-C, MD
• Charles William Pengra, PH.D.
• Tom Penland

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.