NPIMap

Individual provider Active NPI

Warner Peng, MD

  • Hematology & Oncology Physician
  • Oxnard, CA
National Provider Identifier
1154584704
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C167982 Issued in CA
Practice address
1851 Lombard St Ste 105
Oxnard, CA 93030-8231
Phone
(805) 485-7232
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X C167982 CA Primary

Addresses

Primary practice location

1851 Lombard St Ste 105
Oxnard, CA 93030-8231

Mailing address

1851 Lombard St Ste 105
Oxnard, CA 93030-8231
Phone (805) 485-7232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331003452 CA Practitioner - Hematology/Oncology 9234381849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin J Ma MD a Professional CorporationGroup PAC ID 8325934482, 12 clinicians

Practice addresses (Care Compare)

1851 Lombard St
Suite 105
Oxnard, CA 93030-8231
Phone (805) 485-7232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C167982CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic Multi-Specialty CurrentSince Feb 1, 2021 Accepting new patients
Austin J Ma, M.D., a Professional Corporation Multi-Specialty CurrentSince Sep 1, 2021 Accepting new patients
Sansum Clinic CurrentSince Feb 1, 2021 Accepting new patients
Sansum Clinic Multi-Specialty Current Accepting new patients

Locations

412 W Carroll Ave
Ste 210
Glendora, CA 91741
Phone (626) 335-2277

1700 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 264-0430

1700 E Cesar E Chavez Ave
Ste 3500
Los Angeles, CA 90033
Phone (323) 264-0430

1851 Lombard St
Ste 105
Oxnard, CA 93030
Phone (805) 278-5950

71777 San Jacinto Dr
Ste 1
Rancho Mirage, CA 92270
Phone (760) 969-6505

1473 Ford St
Ste 104
Redlands, CA 92373
Phone (909) 307-1250

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

540 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 563-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: warner.peng.p5@direct.scoa.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1154584704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 LOMBARD ST STE 105",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308231",
            "telephone_number": "805-485-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 LOMBARD ST STE 105",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308231",
            "telephone_number": "805-485-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENG",
        "first_name": "WARNER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C167982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.