Patricia Pena, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

428963 Issued in CA

Practice address

720 E San Bruno Ave
Fresno, CA 93710-7029

Phone

(559) 341-7156

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821209305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 E HERNDON AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203307",
            "telephone_number": "559-438-3000",
            "fax_number": "559-439-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E SAN BRUNO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107029",
            "telephone_number": "559-341-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "428963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "428963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Pena
• Janey Samantha Pena
• Kira Pena
• Lezlee Pena
• Manuel Alejandro Pena
• Shady Alexandria Pena
• Sylvia Ybarra Pena
• Yadira Pena
• Alexandra Penaloza
• Hadara Penaloza

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.