Active NPI
Penny Loeb, MD
- Pediatrics Physician
- Los Altos, CA
National Provider Identifier
1992848105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G28977
- Practice address
- 842 Altos Oaks Dr
Los Altos, CA 94024-5403 - Phone
- (650) 941-0550
- Fax
- (650) 941-6751
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G28977 | CA | Primary |
Addresses
Primary practice location
842 Altos Oaks Dr
Los Altos, CA 94024-5403
Mailing address
842 Altos Oaks Dr
Los Altos, CA 94024-5403
Phone (650) 941-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28977 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992848105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 ALTOS OAKS DR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245403",
"telephone_number": "650-941-0550",
"fax_number": "650-941-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 ALTOS OAKS DR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245403",
"telephone_number": "650-941-0550",
"fax_number": "650-941-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEB",
"first_name": "PENNY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G28977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- 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.