Ovidio Moises Penalver, MD, PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00015660 Issued in WA

Practice address

319 5TH St SW
Puyallup, WA 98371-5828

Phone

(253) 848-0351

Fax

(253) 841-1397

NPI assigned

Jun 21, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457357964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 5TH ST SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715828",
            "telephone_number": "253-848-0351",
            "fax_number": "253-841-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 5TH ST SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715828",
            "telephone_number": "253-848-0351",
            "fax_number": "253-841-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALVER",
        "first_name": "OVIDIO",
        "middle_name": "MOISES",
        "name_prefix": "Dr.",
        "credential": "MD, PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00015660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110653",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Isabel Perez Bescanza
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• Specialist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.