Active NPI
Valeria Ana Penela, PSY. D, PSYCHOLOGIST
- Psychologist
- Santa Monica, CA
National Provider Identifier
1356561815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY20934
- Practice address
- 3201 Wilshire Blvd Ste 201
Santa Monica, CA 90403-2337 - Phone
- (310) 623-7681
- Fax
- (310) 829-7868
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY20934 | CA | Primary |
Addresses
Primary practice location
3201 Wilshire Blvd Ste 201
Santa Monica, CA 90403-2337
Mailing address
1512 Corinth Ave Apt 6
Los Angeles, CA 90025-3232
Phone (310) 623-7681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20934 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356561815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 CORINTH AVE APT 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253232",
"telephone_number": "310-623-7681",
"fax_number": "310-829-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 WILSHIRE BLVD STE 201",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032337",
"telephone_number": "310-623-7681",
"fax_number": "310-829-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENELA",
"first_name": "VALERIA",
"middle_name": "ANA",
"name_prefix": "Dr.",
"credential": "PSY. D, PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY20934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.