Individual provider Active NPI

Paulette Penning, FNP-C

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1891259537
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017269 Issued in CA
Practice address
5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8714
Phone
(855) 434-7763
Fax
(949) 281-5550
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9341036 FL
Family Nurse Practitioner 363LF0000X 95017269 CA Primary

Addresses

Primary practice location

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8714

Mailing address

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8714
Phone (855) 434-7763

Other practice location 1

2101 Rosecrans Ave Ste 3230
El Segundo, CA 90245-4749
Phone (650) 826-2945

Other practice location 2

Clinic 7891 8954 LANTANA RD
Lake Worth, FL 33467
Phone (561) 434-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190227002087 FL Practitioner - Nurse Practitioner 9234478710 Reassigns benefits to 1 organization
I20210921001196 CA Practitioner - Nurse Practitioner 9234478710 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017269CAMDFamily Nurse Practitioner
9341036FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Dec 1, 2025 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 4, 2024 Accepting new patients
Universal Care CurrentSince Oct 4, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Apr 15, 2024 Accepting new patients
J M Geiss DO Apc CurrentSince Mar 3, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

Interoperability endpoints

  • Direct secure messaging: ppenning@landmarkhealth-direct.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1891259537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HUTTON CENTRE DR STE 950",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078714",
            "telephone_number": "855-434-7763",
            "fax_number": "949-281-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HUTTON CENTRE DR STE 950",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078714",
            "telephone_number": "855-434-7763",
            "fax_number": "949-281-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Rosecrans Ave Ste 3230",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454749",
            "country_code": "US",
            "telephone_number": "650-826-2945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Clinic 7891 8954 LANTANA RD",
            "address_purpose": "LOCATION",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "country_code": "US",
            "telephone_number": "561-434-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNING",
        "first_name": "PAULETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9341036",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.