Gregory Penix

Primary specialty

DriverTaxonomy code 172A00000X

License

A5926211 Issued in CA

Practice address

1113 O St
Bakersfield, CA 93304-1526

Phone

(661) 800-3411

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1336700657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 O ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041526",
            "telephone_number": "661-800-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 O ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041526",
            "telephone_number": "661-800-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 O St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933041526",
            "country_code": "US",
            "telephone_number": "661-800-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 O St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933041526",
            "country_code": "US",
            "telephone_number": "661-800-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENIX",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "A5926211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Pence
• Jordan Leigh Pendley
• Penelope S. Suter, O.D., an Optometric Professional Corporation
• Alice Peng
• Lifang Peng, PA-C
• Genelle Eshon Penn
• Janis A Penner, M.D.
• James R. Penrose, DO
• Melissa M Penry
• Carol Denise Pensyl, O.D., M.S.

• Driver in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.