Active NPI
Jorge A Pena, M.D.
- Cardiovascular Disease Physician
- Monterey Park, CA
National Provider Identifier
1942235940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A29890
- Practice address
- 600 N Garfield Ave Ste 311
Monterey Park, CA 91754-1171 - Phone
- (626) 280-0408
- Fax
- (626) 280-5288
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A29890 | CA | Primary |
Addresses
Primary practice location
600 N Garfield Ave Ste 311
Monterey Park, CA 91754-1171
Mailing address
324 Sharon Rd
Arcadia, CA 91007-8045
Phone (626) 447-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A298900 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090203000626 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 0840354056 | Practice locations: Monterey Park, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222
Hospital & facility affiliations
- San Gabriel Valley Medical Center
- Monterey Park Hospital
- Garfield Medical Center
- Keck Hospital of Usc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A29890 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
-
- General Acute Care Hospital
- San Gabriel, CA
- NPI 1275720377
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1942235940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 SHARON RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078045",
"telephone_number": "626-447-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N GARFIELD AVE STE 311",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541171",
"telephone_number": "626-280-0408",
"fax_number": "626-280-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "JORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A29890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A298900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.