Anderson Da Paz Penha, MD, MAS

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

A204882 Issued in CA

Practice address

295 Imperial Hwy Ste 100
Fullerton, CA 92835-1020

Phone

(714) 770-8400

NPI assigned

Apr 5, 2019

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Pain Management

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medhat F Mikhael MD IncGroup PAC ID 7315958188, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medhat F. Mikhael, M.D., Inc

  dba Pain Medicine Associates

  • Pain Medicine Physician
  • Fountain Valley, CA
  • NPI 1053341933
  Medicare reassignment Care Compare group NPD
• Psychological Advances in Coping Education Inc

  • Cognitive & Behavioral Psychologist
  • Palm Desert, CA
  • NPI 1952318586
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1336601426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 IMPERIAL HWY STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351020",
            "telephone_number": "714-770-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Avenue",
            "address_2": "Suite 17-240 CHS",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90095",
            "country_code": "US",
            "telephone_number": "310-825-6771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073418",
            "country_code": "US",
            "telephone_number": "562-595-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-543-2773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENHA",
        "first_name": "ANDERSON",
        "middle_name": "DA PAZ",
        "name_prefix": "Dr.",
        "credential": "MD, MAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "A204882",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A204882",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A204882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Alexander Pena
• Edwin Pena
• Frank James Pena
• Michelle Ramirez Pena, MSW, MS, OTR/L
• Lynnus Fann Peng, MD
• Cielo Esperanza Penilla
• Denise Marie Penn, LCSW
• Paola Yangizet Peralta
• Juliana Perdomo
• Nancy Pereda, MSW

• Pain Medicine Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Pain Medicine Physician in California

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