Venn Wilfred Maderazo Penales

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

95345111 Issued in CA

Practice address

101 Jose Figueres Ave Ste 50
San Jose, CA 95116-2068

Phone

(408) 207-0560

Fax

(408) 642-6052

NPI assigned

Jan 18, 2021

Last updated

Apr 1, 2025By the provider in NPPES

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

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.

• Momentum for Health

  dba Momentum for Health - CSU

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1477906410
  NPD

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1386233906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 THE ALAMEDA STE 316",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261461",
            "telephone_number": "408-261-7777",
            "fax_number": "408-642-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOSE FIGUERES AVE STE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162068",
            "telephone_number": "408-207-0560",
            "fax_number": "408-642-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALES",
        "first_name": "VENN WILFRED",
        "middle_name": "MADERAZO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95345111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Pena
• Gisselle Domenica Pena
• Inge Sofia Pena
• Jenny Pena
• Rosanna Pena
• Morgan Paige Pender
• Shakalpi Pendurkar, DDS
• Jason Peng
• Mei Yu Peng, L.AC.
• Yan Peng

• Psychiatric/Mental Health Registered Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.