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WENDY L. DE LA PENA M.D. NPI 1407890429


NPI Information

NPI: 1407890429
Provider Name: WENDY L. DE LA PENA, M.D.
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
2195 CLUB CENTER DR STE G
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 835-1801
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Wendy L. De La Pena, M.D. is a pediatric rheumatology pediatrics in San Bernardino, CA with 24 years of experience. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Wendy L. De La Pena, M.D. NPI is 1407890429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

2195 CLUB CENTER DR STE G
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 835-1801
Fax: (909) 835-1858

The NPI 1407890429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 11/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA78894CALIFORNIANo
22080P0216XPediatricsPediatric RheumatologyA78894CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.