Theresa Marie Pena, RDH

Primary specialty

SpecialistTaxonomy code 174400000X

License

21606 Issued in CA

Practice address

1428 Phillips LN Ste 101
San Luis Obispo, CA 93401-2550

Phone

(805) 242-2430

NPI assigned

Mar 29, 2025

Sex

Female

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

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1518760149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 YERBA BUENA ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422973",
            "telephone_number": "805-540-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012550",
            "telephone_number": "805-242-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "21606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Peinado, MD
• Michelle Pellegrin
• Dianne Pelletier
• Teresa Marie Pemberton, LMFT
• Sierra Pena, MD
• Molly Pendley
• Stephen T. Penepacker, MD
• Brian Scott Penton, M.D.
• People Persons Services LLC
• People'S Self-Help Housing

• Specialist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.