Ignez Jansen Penna, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C53566 Issued in CA

Practice address

4316 Marina del Rey Drive
# 1031
Marina del Rey, CA 90292

Phone

(310) 823-1230

NPI assigned

Apr 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ignez Jansen Penna Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jacob Moussai MD Inc

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1750622585
  NPD (past)

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1295979870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 MARINA CITY DR UNIT 1031",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925820",
            "telephone_number": "310-823-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 MARINA DEL REY DRIVE",
            "address_2": "# 1031",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "310-823-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNA",
        "first_name": "IGNEZ",
        "middle_name": "JANSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C53566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IGNEZ",
            "last_name": "PENNA",
            "middle_name": "JANSEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mister Patterson
• Paul B Donzis MD Inc
• Mario E. Paz, D.D.S.
• Pchung Corporation
• Michael C Pelletier, BCOM, MBA
• Lisa Anne Penny, M.A.
• Marvin Peredo
• Adriana Perez
• Christian Perez
• Justin Perez, M.D.

• Psychiatry Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.