Jerome Penaflor, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

195969 Issued in CA

Practice address

2051 Shadetree LN
Escondido, CA 92029-5304

Phone

(858) 354-6978

Fax

(760) 294-5595

NPI assigned

Aug 15, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1750573523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 SHADETREE LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920295304",
            "telephone_number": "858-354-6978",
            "fax_number": "760-294-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 SHADETREE LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920295304",
            "telephone_number": "858-354-6978",
            "fax_number": "760-294-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFLOR",
        "first_name": "JEROME",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "195969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Diagnostic
• Suesan Pedersen, MD
• Erin Elizabeth Pedro
• Mianne E Pelley
• Miguel Jesus Pena
• Jose A Penalva, DDS
• Teresa Marie Peniston, ASW
• Richard Joseph Penksa
• Penn Elm Medical Group, Inc.
• Jonathan Pennacchio, PHARM.D.

• Licensed Practical Nurse in Escondido, CA
• Providers in Escondido, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.