James Earl Pennington, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G59543 Issued in CA

Practice address

4 Toledo Dr
Lafayette, CA 94549-2952

Phone

(925) 899-5922

Fax

(925) 283-7876

NPI assigned

Jan 26, 2013

Last updated

Jan 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359158400000",
    "number": "1184962144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TOLEDO DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945492952",
            "telephone_number": "925-899-5922",
            "fax_number": "925-283-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TOLEDO DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945492952",
            "telephone_number": "925-899-5922",
            "fax_number": "925-283-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JAMES",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G59543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN AND SURGEON",
            "identifier": "G59543",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.