PENNY LEE LARSON M.D. NPI 1528057213

NPI Information

  • NPI: 1528057213
  • Provider Name: PENNY LEE LARSON, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12646 THORNBERG WAY
    RANCHO CORDOVA, CA
    ZIP 95742
  • Phone: (916) 238-6070

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NPI Details

Penny Lee Larson, M.D. is an obstetrics gynecology in Rancho Cordova, CA with 28 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Penny Lee Larson, M.D. NPI is 1528057213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

12646 THORNBERG WAY
RANCHO CORDOVA, CA
ZIP 95742-839
Phone: (916) 238-6070
Fax: (916) 238-6070

The NPI 1528057213 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 10/17/2005 and was last updated on 6/15/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology01051820AINDIANANo
2207V00000XObstetrics & Gynecology55075GEORGIANo
32083A0300XPreventive MedicineAddiction MedicineA93985CALIFORNIANo
4207V00000XObstetrics & GynecologyA93985CALIFORNIAYes

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: 11/21/2025

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