Penera Podiatry Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PENERA PODIATRY CORPORATION

Practice address

18080 Beach Blvd Ste 102
Huntington Beach, CA 92648-1343

Phone

(714) 841-5055

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Keith Everett Penera, DPM

Title

President

Phone

(714) 585-6178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1306515879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18080 BEACH BLVD STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481343",
            "telephone_number": "714-841-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18080 BEACH BLVD STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481343",
            "telephone_number": "714-841-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENERA PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "PENERA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-585-6178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian David Pena
• Lorenzo V Pena, PPS
• Melinda Pena
• Yliana Penalosa, NP
• Michelle Pendergast
• Rebecca Ann Penera, DPM
• Peninsula Professional Services
• Stacy Pensinger
• Pauline Pepek, M.D.
• Richard Peprah, M.D.

• Foot & Ankle Surgery Podiatrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.