Jose R Pena MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOSE R PENA MD PC

Practice address

374 H St
Suite 201
Chula Vista, CA 91910-5547

Phone

(619) 691-1766

Fax

(619) 691-1767

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose R. Pena, MDNPI 1437170008

Title

Owner

Phone

(619) 691-1766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose R. Pena, MD

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1437170008
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1508883356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-464-1165",
            "fax_number": "619-567-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "address_2": "SUITE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-691-1766",
            "fax_number": "619-691-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R PENA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-691-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teyon Shawntice Jones
• Kayla Marie Jordan
• Lindsey Jordan
• Jorge G. Mendez, M.D., Inc.
• Patricia Jorgensen, PT
• Christian Jose-Weber
• Joseph M Monter PHD a Psychology Corporation
• Jayne Rose Joseph, RVT
• Mackenzie Joseph
• Joshua Masillamoni, DDS, PC

• Internal Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.