Individual provider Active NPI

Lloyd S Pena, M.D.

  • Emergency Medicine Physician
  • Redding, CA
National Provider Identifier
1699863381
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A73776 Issued in CA
Practice address
1100 Butte St
Redding, CA 96001-0852
Phone
(530) 244-5400
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A73776 CA Primary

Addresses

Primary practice location

1100 Butte St
Redding, CA 96001-0852

Mailing address

PO Box 11949
Westminster, CA 92685-1949
Phone (866) 883-5374

Other identifiers 2

IdentifierTypeStateIssuer
00A837760MedicaidCA
A83776OtherCAMEDICAL LICENSE

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
I20041112000804 CA Practitioner - Emergency Medicine 6002870722 Reassigns benefits to 7 organizations
Practice locations: Weed, CA

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Davis School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Emergency Providers Professional Corporation 28 clinicians
North Pacific Cardiology Medical 21 clinicians
Trinity Emergency Physicians 47 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

3800 Janes Rd
Arcata, CA 95521-4742
Phone 70782272203358

525 W Acacia St
Stockton, CA 95203-2405
Phone (530) 244-5400

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
84.58
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83766CAMDFamily Medicine Physician
A73776CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orna Gil MD Inc Current Accepting new patients
Shasta Regional Medical Group Inc Emergency Medicine CurrentSince Sep 5, 2024 Accepting new patients
North Pacific Cardiology Medical CurrentSince Apr 1, 2024 Accepting new patients
Trinity Emergency Physicians Emergency Medicine CurrentSince Nov 4, 2024 Accepting new patients
Sierra ER Department Physicians Medical Group Inc. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Sep 5, 2024 Accepting new patients
Shasta Emergency Medical Associates Inc Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Dec 31, 2013 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

1555 East St
Ste 120
Redding, CA 96001
Phone (530) 242-6122

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 10

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 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1699863381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11949",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851949",
            "telephone_number": "866-883-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-244-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "LLOYD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A73776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A837760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A83776",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.