Mary Rosalie Pena-Pridmore, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C51623 Issued in CA

Practice address

355 Samuel Dr
Yuba City, CA 95991-6324

Phone

(530) 674-9200

Fax

(530) 674-5667

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mary Rosalie Pena-Pridmore Professional name

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

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Home Care Services Home health agency, Yuba City, CA, CCN 057448
• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
• Orchard Hospital Hospital, Gridley, CA, CCN 051311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.pena@ampla.eclinicaldirectplus.com

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.

• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Oroville, CA
  • NPI 1952333635
  Medicare reassignment Care Compare group NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Gridley, CA
  • NPI 1639194004
  NPD
• Ampla Health

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1881613669
  NPD
• County of Sutter

  • Primary Care Clinic/Center
  • Yuba City, CA
  • NPI 1083831960
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  NPD (past)
• Santa Rosa Family Health Center

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1679572804
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orchard Hospital

  • Critical Access Hospital
  • Gridley, CA
  • NPI 1477522019
  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Rideout Memorial Hospital

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Care Compare affiliation
• Western Health Resources

  • Home Health Agency
  • Yuba City, CA
  • NPI 1639640089
  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1336240837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 YUBA ST RM 144",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959014838",
            "telephone_number": "530-749-3242",
            "fax_number": "530-741-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 SAMUEL DR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916324",
            "telephone_number": "530-674-9200",
            "fax_number": "530-674-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 5th St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "CA",
            "postal_code": "959015646",
            "country_code": "US",
            "telephone_number": "530-743-7413",
            "fax_number": "530-743-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9980 Live Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "CA",
            "postal_code": "959532334",
            "country_code": "US",
            "telephone_number": "530-749-3242 x1331",
            "fax_number": "530-749-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA-PRIDMORE",
        "first_name": "MARY",
        "middle_name": "ROSALIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C51623",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "51623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXE70043F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PENA-PRIDMORE",
            "middle_name": "ROSALIE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Khristine L Pedigo
• Brett Pedley, PA-C
• Harpreet Pegany
• Amanda Renee Pellegrino
• William Thomas Pelton, DDS
• Octavio Frias Penaloza, PA-C
• Robert Michael Peppercorn, M.D.
• Katie Perez Trapala
• David Perez III
• Fantasia Nicole Perez

• Family Medicine Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.