Peninsula Healthcare Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PENINSULA HEALTHCARE CENTER

Practice address

22330 Hawthorne Blvd Ste 208
Torrance, CA 90505-2536

Phone

(877) 354-1171

Fax

(424) 488-3600

NPI assigned

Oct 25, 2020

Organization subpart

No

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

Authorized official

Name

Shelly Calhoun, NPNPI 1902418577

Title

Ceo

Phone

(877) 354-1171

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22871/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelly Calhoun, FNP-C

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1902418577
  NPD Authorized official
• Kevin Bernard Calhoun, M.D.

  • Emergency Medicine Physician
  • Chula Vista, CA
  • NPI 1144239401
  NPD

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1235738782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22330 HAWTHORNE BLVD STE 208",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052536",
            "telephone_number": "877-354-1171",
            "fax_number": "424-488-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22330 HAWTHORNE BLVD STE 208",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052536",
            "telephone_number": "877-354-1171",
            "fax_number": "424-488-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-354-1171",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shrita Pendekanti, MD
• Bernadette Pendergraph, M.D.
• Meghan Peneueta, DC
• Shi-Kaung Peng, M.D., PHD
• Yue Peng, MD
• Peninsula Primary Care
• Peninsula Pulmonary Medical Associates
• Peninsula Urgent Care LLC
• Maneesh Suresh Penkar, M.D.
• Megan Kay Pennington

• General Practice Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.