Penny Ellen Borenstein, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

G88337 Issued in CA

Practice address

2191 Johnson Ave
San Luis Obispo, CA 93401-4534

Phone

(805) 781-5519

NPI assigned

May 6, 2008

Last updated

Sep 28, 2010By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Preventive MedicineAlso: Pediatric Medicine

Education

State University of Ny Upstate Medical University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of San Luis ObispoGroup PAC ID 9032020094, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• County of San Luis Obispo

  dba Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paso Robles, CA
  • NPI 1134287634
  Medicare reassignment Care Compare group NPD
• County of San Luis Obispo Drug and Alcohol Services

  • Marriage & Family Therapist
  • San Luis Obispo, CA
  • NPI 1013115468
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1588830863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 JOHNSON AVENUE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014534",
            "telephone_number": "805-781-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014534",
            "telephone_number": "805-781-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORENSTEIN",
        "first_name": "PENNY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G88337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Bond
• Rhaelynn Bonham, NP
• David Carlton Bonnheim, M.D.
• Wilaim David Boorman, PSYCHIATRIC TECHNICI
• Matthew Booth
• Philip A. Borgardt, M.D.
• Lana Borges
• William Joseph Borgman, RPH
• Alison Borgsmiller, ALISON
• Marlisa Borja, M.A., CCC-SLP

• Public Health & General Preventive Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.