Sarah C Penegor, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

95327491 Issued in CA

Practice address

1700 S Amphlett Blvd Ste 120
San Mateo, CA 94402-2711

Phone

(650) 683-2422

NPI assigned

May 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sarah C Azuela-Rascon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1275323214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 120",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 120",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022711",
            "telephone_number": "650-683-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENEGOR",
        "first_name": "SARAH",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95327491",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95327491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "AZUELA-RASCON",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Pena
• Krystle Tashanty C Pena
• Naomi Pena
• Savannah Pena
• Maria Consuelo Pendse
• Peninsula Ambulatory Medical Services PC
• Peninsula Endoscopy Center LLC (Mid Peninsula Endoscopy Center)
• Peninsula Eye Physicians Medical Group,Inc.
• Peninsula Family YMCA
• Peninsula Foot & Ankle Center Corp

• Psychiatric/Mental Health Registered Nurse in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.