Cameron Scott Penta, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34638 Issued in CA

Practice address

1708 Park St Ste 130
Alameda, CA 94501-1998

Phone

(510) 205-2305

NPI assigned

Sep 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Boyd Chiropractic, Inc

  • Chiropractor
  • Alameda, CA
  • NPI 1477822435
  Medicare reassignment NPD
• Carolyn Finnegan Chiropractic Corporation Align Chiropractic Center

  • Chiropractor
  • Oakland, CA
  • NPI 1881879146
  NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1447891577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BURIAT ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771571",
            "telephone_number": "661-390-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PARK ST STE 130",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011998",
            "telephone_number": "510-205-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTA",
        "first_name": "CAMERON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alameda",
            "affiliation": "N",
            "address_1": "1708 Park St Ste 130",
            "city": "Alameda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945011998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tucker Peck, PH.D.
• Nina Peele
• Gianna Micol Pellettieri, DPT
• Julio Cesar Pena
• Marisol Pena
• Mellanie J Pereyra-Gutierrez
• Alicia Perez, DPT
• Alondra Isabel Perez I
• Andrew Perez
• Angel Armando Perez

• Chiropractor in Alameda, CA
• Providers in Alameda, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.