Joy Baltazar Penafiel

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1393620620 Issued in CA

Practice address

5218 E Hanbury St
Long Beach, CA 90808-1846

Phone

(626) 825-2921

NPI assigned

Aug 18, 2020

Reactivated

Jul 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1982216370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 E HANBURY ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081846",
            "telephone_number": "626-825-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 E HANBURY ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081846",
            "telephone_number": "626-825-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFIEL",
        "first_name": "JOY",
        "middle_name": "BALTAZAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "deactivation_date": "2021-06-08",
        "reactivation_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "00910592",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1393620620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sihaneat Pen
• Beatriz Pena Jimenez
• Aurora Pena
• Kristeen Pena
• Tricia Pena, SLP
• Brandie Nicole Penaloza
• Matthew Penesa
• Weikang Z Peng, PHARM.D
• Brianna Yesennia Penido
• Phillip Penn

• Addiction (Substance Use Disorder) Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.