Yoceline Pena, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

Y8537265 Issued in CA

Practice address

726 S 5TH St
Colton, CA 92324-3305

Phone

(909) 327-7849

NPI assigned

Nov 9, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1881350486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S 5TH ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243305",
            "telephone_number": "909-327-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S 5TH ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243305",
            "telephone_number": "909-327-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "YOCELINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "Y8537265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Y8537265",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "Y",
            "affiliationName": "Starlight Therapy Center INC",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1235 Indiana Ct Ste 107",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923744540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kylie Renae Pedroza
• David E Pena
• Diana Pena
• Karina Pena
• Valeria Pena
• Angel Andrew Penafiel, NP
• Jennifer Penaloza
• Karen Tirador Penaredondo
• Elaine Michelle Peng
• Michael Hector Penilla, D.C.

• Physician Assistant in Colton, CA
• Providers in Colton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.