Individual provider Active NPI

Orlando I Pena, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, CA
National Provider Identifier
1689068629
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A16913 Issued in CA
Practice address
42135 10TH St W Ste 101
Lancaster, CA 93534-7099
Phone
(661) 726-5005
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 20A16913 CA Primary

Addresses

Primary practice location

42135 10TH St W Ste 101
Lancaster, CA 93534-7099

Mailing address

42135 10TH St W Ste 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190724002680 CA Practitioner - Physical Medicine and Rehabilitation 4082903893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Nova Southeastern Univ College of Dental Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avors Medical GroupGroup PAC ID 6901989904, 18 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

Hospital & facility affiliations

  • Metropolitan Home Health Home health agency, Valley Village, CA, CCN 058090
  • Promed Home Health Care, Inc. Home health agency, Sherman Oaks, CA, CCN 753178
  • Dependable Home Health, Inc Home health agency, Mojave, CA, CCN 059022
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Palmdale Regional Medical Ctr Inpatient rehabilitation facility, Palmdale, CA, CCN 05T204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A16913CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avors Medical Group Physical Medicine & Rehabilitation CurrentSince Jul 1, 2019 Accepting new patients
Embassy Surgery Center, LLC CurrentSince Mar 7, 2020 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients

Locations

42135 10th St W
Ste 101
Lancaster, CA 93534
Phone (661) 341-3800

42135 10th St W
Lancaster, CA 93534
Phone (661) 237-5454

42135 10th St W
Ste 325
Lancaster, CA 93534
Phone (661) 237-5454

1011 N China Lake Blvd
Ste B
Ridgecrest, CA 93555
Phone (661) 726-5005

26357 McBean Pkwy
Ste 225
Valencia, CA 91355
Phone (661) 964-0480

23838 Valencia Blvd
Ste 260
Valencia, CA 91355
Phone (661) 233-4949

Interoperability endpoints

  • Direct secure messaging: avors.penaorlando@133862.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1689068629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347099",
            "telephone_number": "661-726-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347099",
            "telephone_number": "661-726-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ORLANDO",
        "middle_name": "I",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A16913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.