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VAN ARTHUR PENA PH.D. M.D. NPI 1154488146


NPI Information

NPI: 1154488146
Provider Name: VAN ARTHUR PENA, PH.D., M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
6136 BATESOLE DR
SANTA ROSA, CA
ZIP 95404
Phone: (707) 542-8107
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Van Arthur Pena, PH.D., M.D. is a family medicine in Santa Rosa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Van Arthur Pena, PH.D., M.D. NPI is 1154488146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6136 BATESOLE DR
SANTA ROSA, CA
ZIP 95404-504
Phone: (707) 542-8107
Fax: (707) 542-8107

The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/8/2007.


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
1207Q00000XFamily MedicineG39706CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A47927MEDICARE UPINCALIFORNIA

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

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