Active NPI
James R. Penrose, DO
- Internal Medicine Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A5609
- Practice address
- 3733 San Dimas St
Bakersfield, CA 93301-1407 - Phone
- (800) 353-5400
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A5609 | CA | Primary |
Addresses
Primary practice location
3733 San Dimas St
Bakersfield, CA 93301-1407
Mailing address
3733 San Dimas St
Bakersfield, CA 93301-1407
Phone (800) 353-5400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5609 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians of California, PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Kansal Inc | Internal Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002
660 4th St
San Francisco, CA 94107
Phone (415) 349-0850
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Porterville, CA
- NPI 1730570565
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Internal Medicine Physician
- West Hollywood, CA
- NPI 1043510183
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1831258458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 SAN DIMAS ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011407",
"telephone_number": "800-353-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 SAN DIMAS ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011407",
"telephone_number": "800-353-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENROSE",
"first_name": "JAMES",
"middle_name": "R.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A5609",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3733 San Dimas St",
"city": "Bakersfield",
"state": "CA",
"country_code": "US",
"postal_code": "933011407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.