Anna M Pennino, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9996 Issued in CA

Practice address

8511 Pershing Dr
Playa del Rey, CA 90293-8101

Phone

(310) 577-6401

Fax

(310) 577-6403

NPI assigned

Aug 30, 2005

Last updated

Jul 21, 2014By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Golden Ardaya and Lin Optometry IncGroup PAC ID 2961667399, 18 clinicians

Monarch Bay Optometry, Inc.Group PAC ID 5193152510, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: anna.pennino@uprisedirect.com

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.

• Golden Ardaya & Lin Optometry Inc

  • Optometrist
  • Whittier, CA
  • NPI 1962764340
  Medicare reassignment Care Compare group NPD
• Monarch Bay Optometry, Inc.

  dba Monarch Bay Optometry

  • Optometrist
  • Dana Point, CA
  • NPI 1710538343
  Medicare reassignment Care Compare group NPD
• Anna M Pennino OD Optometric Corp

  dba Del Rey Optometry

  • Optometrist
  • Playa del Rey, CA
  • NPI 1356589741
  Authorized official Same address or phone
• Dr. Irene M. Lin-Dilorinzo, O.D., Inc.

  dba Monarch Bay Optometry

  • Optometrist
  • Dana Point, CA
  • NPI 1396193629
  NPD
• South Gate Optometry

  • Optometrist
  • South Gate, CA
  • NPI 1821257312
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1962495408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 PERSHING DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938101",
            "telephone_number": "562-434-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 PERSHING DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938101",
            "telephone_number": "310-577-6401",
            "fax_number": "310-577-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINO",
        "first_name": "ANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0099960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonah Oderberg
• Steven Orenstein, MFT
• Pacific MRI & Diagnostics
• Clev Paet, PT ASSISTANT
• Jennifer Ravita Pamu, RD
• Gricelda Peralta, R.D.H, R.D.H.A.P.
• Cheryl Lynn Perkins, CNC
• Pedram Pezeshki
• Playa del Rey Chiropractic Health and Wellness Dr Steven R Recker DC
• Noel Joy Plourde, PH.D.

• Optometrist in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.

Verify at the official NPI Registry.