Michael Paul Penna, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

95170352 Issued in CA

Practice address

13661 Calimesa Blvd Ste 6
Yucaipa, CA 92399-2370

Phone

(909) 699-2539

NPI assigned

Sep 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1346077567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13661 CALIMESA BLVD STE 6",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992370",
            "telephone_number": "909-699-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13661 CALIMESA BLVD STE 6",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992370",
            "telephone_number": "909-699-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNA",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "CA",
            "license": "P30227",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95170352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cezanne Mimi Patterson
• Eden Marie Patterson, FNP
• Leticia Peacock
• Hanna Linnette Pelcastre Espinosa
• Sharon Lee Pendola, LVN
• Jaelynn Kathleen Perez
• Salvador Perez
• Martha Perilla
• Brittany Perisits
• Peter N Jimenez DDS a Professional Dental Corporation

• Emergency Registered Nurse in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Emergency Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.