Robert A. Penman Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G33731 Issued in CA

Practice address

4600 Broadway
Suite 1400
Sacramento, CA 95820-1527

Phone

(916) 874-9522

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Insight Health Corp

  • Physiological Laboratory
  • Folsom, CA
  • NPI 1174598072
  NPD (past)
• Radiological Associates of Sacramento Medical Group

  • Diagnostic Radiology Physician
  • Elk Grove, CA
  • NPI 1700857117
  NPD (past)
• Radiological Associates of Sacramento Medical Group Inc

  • Diagnostic Radiology Physician
  • Roseville, CA
  • NPI 1487945754
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932149382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY",
            "address_2": "SUITE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201527",
            "telephone_number": "916-874-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BROADWAY",
            "address_2": "SUITE 1400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201527",
            "telephone_number": "916-874-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMAN",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G33731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G337311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy J Peng
• Andrea Margarete Sprague Pengel, M.S.N, F.N.P
• Karmel Pengilly, PH.D.
• Champagne Penkin
• Michele Penman, RN
• Vinay Penmetcha, M.D.
• Diane Elaine Penn
• Javell Penn
• Kahmara Penn
• Kasandra Penn

• Diagnostic Radiology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.