Lifang Peng, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA53943 Issued in CA

Practice address

6401 Truxtun Ave Ste B
Bakersfield, CA 93309-0674

Phone

(661) 327-9300

Fax

(661) 327-9301

NPI assigned

Mar 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Sundeep Grandhe MD Corporation

  • Interventional Pain Medicine Physician
  • Bakersfield, CA
  • NPI 1710743380
  Medicare reassignment
• Central Valley Lifestyle Medicine, PC

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1326905126
  NPD (past)
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1710372909
  NPD (past)

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1184018137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5040",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959660040",
            "telephone_number": "866-520-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 TRUXTUN AVE STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090674",
            "telephone_number": "661-327-9300",
            "fax_number": "661-327-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 E Fir Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203859",
            "country_code": "US",
            "telephone_number": "559-321-8510",
            "fax_number": "559-321-8512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1663 E Prosperity Ave",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932742344",
            "country_code": "US",
            "telephone_number": "559-684-7246",
            "fax_number": "559-684-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENG",
        "first_name": "LIFANG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4426-023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenica Charmaine Aquino Penarejo, NP-C
• Anne Marie Pence
• Jordan Leigh Pendley
• Penelope S. Suter, O.D., an Optometric Professional Corporation
• Alice Peng
• Gregory Penix
• Genelle Eshon Penn
• Janis A Penner, M.D.
• James R. Penrose, DO
• Melissa M Penry

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.