Individual provider Active NPI

Juliet M Penn, M.D.

  • Medical Oncology Physician
  • Santa Barbara, CA
National Provider Identifier
1215175070
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A105540 Issued in CA
Practice address
309 W Quinto St
Santa Barbara, CA 93105-5318
Phone
(805) 563-0041
Fax
(805) 563-0051
NPI assigned
Jan 31, 2009
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A105540 CA Primary

Addresses

Primary practice location

309 W Quinto St
Santa Barbara, CA 93105-5318

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other identifiers 4

IdentifierTypeStateIssuer
1215175070MedicaidCA
4912531OtherCACIGNA
0A1055400OtherCABLUE SHIELD
P01061463OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423000059 CA Practitioner - Medical Oncology 9032373253 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

111 E Victoria St
Santa Barbara, CA 93101-2018

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

5383 Hollister Ave
Suite 160
Goleta, CA 93111-2357
Phone (805) 565-0020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105540CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Feb 18, 2015 Accepting new patients
Sansum Clinic Current Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2022 Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2022 Accepting new patients
Sansum Clinic CurrentSince Feb 18, 2015 Accepting new patients
UCLA Medical Group Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients
Santa Ynez Valley Cottage Hospital, Inc Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

111 E Victoria St
Fl 3
Santa Barbara, CA 93101
Phone (805) 563-0041

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

309 W Quinto St
Santa Barbara, CA 93105
Phone (805) 563-0041

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2040 Viborg Rd
Ste 140
Solvang, CA 93463
Phone (805) 686-5370

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: jpenn27188@direct.uclahealth.org

Organizations & group practices 10

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

Hospital & facility affiliations 4

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": "1233360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1215175070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W QUINTO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055318",
            "telephone_number": "805-563-0041",
            "fax_number": "805-563-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "JULIET",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-31",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A105540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215175070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4912531",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0A1055400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01061463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.