Maneesh Suresh Penkar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C167686 Issued in CA

Practice address

3701 Skypark Dr Ste 105
Torrance, CA 90505-4712

Phone

(310) 373-1400

Fax

(310) 791-7977

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Internal MedicineAlso: Hospitalist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beach Cities Internal MedicineGroup PAC ID 2264965854, 2 clinicians

Maneesh Suresh Penkar MD IncGroup PAC ID 4981144896, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ha Home Care Inc Home health agency, Sun Valley, CA, CCN 757896
• Care Plus Home Health, Inc. Home health agency, La Crescenta, CA, CCN 559437
• Torrance Memorial Home Health Home health agency, Torrance, CA, CCN 057788
• Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107
• Aariel Hospice, Inc Hospice, Valley Village, CA, CCN A01576
• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
• Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353
• Lomita Post-Acute Care Center Nursing home, Lomita, CA, CCN 055262
• Torrance Memorial Med Ctr SNF/DP Nursing home, Torrance, CA, CCN 555599

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Maneesh Suresh Penkar MD Inc

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1134950405
  Medicare reassignment Care Compare group NPD Authorized official
• Beach Cities Internal Medicine

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1649009523
  Medicare reassignment Care Compare group NPD
• Aaron K Tran MD Inc

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1376824854
  Medicare reassignment NPD
• Asad U Khaja, M.D., Inc.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1619342623
  Medicare reassignment NPD
• Chong U Kim MD Inc

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1447379508
  Medicare reassignment NPD
• William E Kim MD Inc

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1295170413
  Medicare reassignment NPD
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)
• Torrance Premier Health, Inc.

  • Adult Medicine Physician
  • Torrance, CA
  • NPI 1487244034
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aariel Hospice

  • Community Based Hospice Care Agency
  • Valley Village, CA
  • NPI 1215488135
  Care Compare affiliation
• Care Plus Home Health Inc.

  • Community Based Hospice Care Agency
  • La Crescenta, CA
  • NPI 1700340551

  Home health agency

  Care Compare affiliation
• Elegance Healthcare, Inc.

  • Home Health Agency
  • Encino, CA
  • NPI 1396117982
  Care Compare affiliation
• Ha Home Care Inc

  • Home Health Agency
  • North Hollywood, CA
  • NPI 1891444840
  Care Compare affiliation
• Providence Health System Southern California

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1902844988
  Care Compare affiliation
• Sungazer Healthcare, Inc.

  • Skilled Nursing Facility
  • Lomita, CA
  • NPI 1720791346

  Nursing home

  Care Compare affiliation
• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation
• Torrance Memorial Medical Center

  • Home Health Agency
  • Torrance, CA
  • NPI 1710989330
  Care Compare affiliation
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1639480247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST STE 204",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054710",
            "telephone_number": "424-328-0203",
            "fax_number": "424-328-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR STE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054712",
            "telephone_number": "310-373-1400",
            "fax_number": "310-791-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Vail Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071219",
            "country_code": "US",
            "telephone_number": "704-304-6070",
            "fax_number": "704-355-5948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23560 Madison St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054710",
            "country_code": "US",
            "telephone_number": "424-328-0203",
            "fax_number": "424-328-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENKAR",
        "first_name": "MANEESH",
        "middle_name": "SURESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL32972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-01695",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C167686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1887",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639480247",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yue Peng, MD
• Peninsula Healthcare Center
• Peninsula Primary Care
• Peninsula Pulmonary Medical Associates
• Peninsula Urgent Care LLC
• Megan Kay Pennington
• Lorraine Perales
• Cion Adonis Peralta
• Perceptions Wellness Family Therapy Inc.
• Peregrine Hospice, Inc.

• Internal Medicine Physician in Torrance, CA
• Providers in Torrance, 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 May 27, 2021; 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.