Active NPI
Jorge A Pena, M.D.
- Obstetrics Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- A75656
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0094810 | Medicaid | CA |
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 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
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 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75656 | CA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Sacramento, P.C. | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| Dignity Health | Current | Accepting new patients | |
| Redding Family Medical Group Inc | Current | 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.
-
- Family Medicine Physician
- Redding, CA
- NPI 1487640868
-
dba Dignity Health Mercy Oncology Center
- Oncology Clinic/Center
- Redding, CA
- NPI 1336588870
-
- Maternal & Fetal Medicine Physician
- Orange, CA
- NPI 1144593310
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
dba Patients Hospital of Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1942204490
-
- General Acute Care Hospital
- Redding, CA
- NPI 1033187182
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Redding, CA
- NPI 1205089026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.