Individual provider Active NPI

Jorge A Pena, M.D.

  • Obstetrics Physician
  • Redding, CA
National Provider Identifier
1881799658
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A75656 Issued in CA
Practice address
2510 Airpark Dr
Suite 203
Redding, CA 96001-2461
Phone
(530) 244-4034
Fax
(530) 244-1821
NPI assigned
Sep 14, 2006
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A75656 CA Primary

Addresses

Primary practice location

2510 Airpark Dr
Suite 203
Redding, CA 96001-2461

Mailing address

2510 Airpark Dr
Suite 203
Redding, CA 96001-2461
Phone (530) 244-4034

Other identifiers 1

IdentifierTypeStateIssuer
GR0094810MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000461 CA Practitioner - Obstetrics/Gynecology 7911093141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding Family Medical Group IncGroup PAC ID 4385691815, 5 clinicians

Practice addresses (Care Compare)

2510 Airpark Dr
Suite 201
Redding, CA 96001-2461
Phone (530) 244-4034

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A75656CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Sacramento, P.C. CurrentSince Jul 29, 2023 Accepting new patients
Dignity Health CurrentSince May 11, 2015 Accepting new patients
Dignity Health CurrentSince May 11, 2015 Accepting new patients
Redding Family Medical Group Inc CurrentSince Mar 27, 2023 Accepting new patients
Shasta Regional Medical Center, LLC Past Accepting new patients
James D. Tate, M.D. Past Accepting new patients

Locations

50978 File
Los Angeles, CA 90074

File 50978
Los Angeles, CA 90074

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

2510 Airpark Dr
Ste 201
Redding, CA 96001
Phone (530) 244-4034

2510 Airpark Dr
Ste 203
Redding, CA 96001
Phone (530) 244-4034

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

1625 Stockton Blvd
Ste 205
Sacramento, CA 95816
Phone (916) 862-9900

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1881799658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "SUITE 203",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012461",
            "telephone_number": "530-244-4034",
            "fax_number": "530-244-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "SUITE 203",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012461",
            "telephone_number": "530-244-4034",
            "fax_number": "530-244-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A75656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.