Active NPI
Monte Winston Penner, M.D.
- Family Medicine Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G71997
- Practice address
- 729 Sunrise Ave Ste 602
Roseville, CA 95661-4542 - Phone
- (916) 953-7571
- Fax
- (916) 771-8515
- NPI assigned
- May 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G71997 | CA | |
| Family Medicine Physician | 207Q00000X | G71997 | CA | Primary |
Addresses
Primary practice location
729 Sunrise Ave Ste 602
Roseville, CA 95661-4542
Mailing address
PO Box 923
Weimar, CA 95736-0923
Phone (916) 215-1531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932321643 | 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
- General Practice
- Education
- Loma Linda University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20601 W Paoli LN
Weimar, CA 95736-0486
Phone (530) 637-4025
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71997 | CA | MD | Pharmacist |
| G71997 | CA | MD | Family Medicine Physician |
| G071997 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newstart Medical Group Inc | Current | Accepting new patients | |
| Spine & Nerve Diagnostic Center | Current | Accepting new patients | |
| Spine & Nerve Diagnostic Center | Current | Accepting new patients | |
| Spine & Nerve Diagnostic Center | Current | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Past | Accepting new patients |
Locations
1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325
4420 Duckhorn Dr
Ste 200
Sacramento, CA 95834
Phone (916) 419-9900
Interoperability endpoints
- monte.penner.1@11511.direct.athenahealth.com
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.
-
- Rural Health Clinic/Center
- Weimar, CA
- NPI 1588072698
-
- Physical Medicine & Rehabilitation Physician
- Roseville, CA
- NPI 1144628504
-
- Physical Medicine & Rehabilitation Physician
- Folsom, CA
- NPI 1457902496
-
- Physical Medicine & Rehabilitation Physician
- Sacramento, CA
- NPI 1750789053
-
- Pharmacy
- Represa, CA
- NPI 1154953529
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1932321643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 923",
"city": "WEIMAR",
"state": "CA",
"postal_code": "957360923",
"telephone_number": "916-215-1531",
"fax_number": "916-481-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE STE 602",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614542",
"telephone_number": "916-953-7571",
"fax_number": "916-771-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNER",
"first_name": "MONTE",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G71997",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G71997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932321643",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.