Individual provider Active NPI

Pente NG, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Brentwood, CA
National Provider Identifier
1720619885
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012966 Issued in CA
Practice address
1200 Central Blvd Ste D
Brentwood, CA 94513-2227
Phone
(925) 308-9510
Fax
(925) 236-2784
NPI assigned
Jan 28, 2020
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10057635 OR
Family Nurse Practitioner 363LF0000X 95012966 CA Primary

Addresses

Primary practice location

1200 Central Blvd Ste D
Brentwood, CA 94513-2227

Mailing address

370 N Wiget LN Ste 250
Walnut Creek, CA 94598-2454
Phone (925) 945-7005

Other names 1

  • Penny NG Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200225002627 CA Practitioner - Nurse Practitioner 0446687784 Reassigns benefits to 2 organizations
I20260407002575 OR Practitioner - Nurse Practitioner 0446687784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians

Practice addresses (Care Compare)

349 SE 7TH Ave
Hillsboro, OR 97123-4112
Phone (541) 316-6575

Merit-based Incentive Payment System (MIPS)

Final score
84.88 of 100Reported as group
Quality
69.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95012966CAMDFamily Nurse Practitioner
10057635ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Dermatopathology Institute Professional Corporation CurrentSince Mar 14, 2022 Accepting new patients
Advance Physical Therapy, Inc. PastSince Sep 1, 2021 Accepting new patients

Locations

1618 Sullivan Ave
Ste 105
Daly City, CA 94015
Phone (650) 756-5500

Interoperability endpoints

  • Direct secure messaging: pennyng@fiorederm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1720619885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982454",
            "telephone_number": "925-945-7005",
            "fax_number": "925-236-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL BLVD STE D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132227",
            "telephone_number": "925-308-9510",
            "fax_number": "925-236-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "PENTE",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10057635",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "NG",
            "credential": "RN, MSN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.