Joshua Penn, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G76919 Issued in CA

Practice address

250 N Robertson Blvd
Suite 403
Beverly Hills, CA 90211-1793

Phone

(310) 551-2750

Fax

(310) 861-5620

NPI assigned

Aug 13, 2006

Last updated

Dec 1, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpenn102148@direct.cshs.org

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.

• Glenville Medical Professional Corp

  • Cardiovascular Disease Physician
  • Colonial Heights, VA
  • NPI 1972272268
  NPD Authorized official
• Icardio Corporation a Medical Corporation

  • Sonography Specialist/Technologist Cardiovascular
  • Los Angeles, CA
  • NPI 1386753515
  Authorized official Same address or phone
• Joshua Penn MD a Medical Corporation

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1942478763
  Authorized official Same address or phone
• Cedars-Sinai Medical Care Foundation

  • Specialist
  • Los Angeles, CA
  • NPI 1316984388
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1679585731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 GLENVILLE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353107",
            "telephone_number": "310-551-2750",
            "fax_number": "310-861-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "SUITE 403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111793",
            "telephone_number": "310-551-2750",
            "fax_number": "310-861-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G76919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Pellerin, L.R.E.
• Pena Medical Inc a Professional Corporation
• Pendon Chiropractic Inc.
• Brad Leslie Penenberg, M.D.
• Gary J Penn, PHD
• Penthouse Anesthesia Corp
• Penthouse Physicians Group, Inc.
• Genevieve Pepin
• Jon A Perlman, MD
• Aaron Perlmutter, M.D.

• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.