DR. YUCHI PETER PENG (NPI# 1023058195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023058195 |
Entity Type | Individual |
Full Name | DR. YUCHI PETER PENG |
Credential | MD |
Practice Address |
44105 15th St W Suite # 110 Lancaster CA 93534-4088 |
Mailing Address |
38660 Medical Center Dr Suite A-380 Palmdale CA 93551-4385 |
Practice Telephone | 6617292316 |
Practice Fax Number | 6617292367 |
Mailing Telephone | 6619485928 |
Mailing Fax Number | 6619482210 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2013-07-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G85681 | CA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | G85681 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G856810 | 05 | |
CA | ZZZ8386Z | 05 |
Street Address |
44105 15TH ST W SUITE # 110 |
City | LANCASTER |
State | CA |
Zip Code | 93534-4088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528420502 | Antelope Valley Hospital Ob Clinic Lancaster | Clinic/Center | 44105 15th St W, Suite 301, Lancaster, CA 93534-4088 | 2016-03-28 |
1598154734 | Karen St Hilaire | Clinical Nurse Specialist | 44105 15th St W, Suite 301, Lancaster, CA 93534-4088 | 2015-01-12 |
1356765655 | Antelope Valley Lung Institute Medical Group | Internal Medicine | 44105 15th St W, 303, Lancaster, CA 93534-4089 | 2014-02-07 |
1952660177 | Steve S Koh, Md, Inc | Urology | 44105 15th St W, Ste 302, Lancaster, CA 93534-4088 | 2012-05-08 |
1033304035 | Antelope Valley Orthopaedic& Rehabiliation Specialists | Pain Medicine | 44105 15th St W, Suite 201, Lancaster, CA 93534-4088 | 2007-09-12 |
1164636262 | Yih-dar Nien | Surgery | 44105 15th St W, Suite 409, Lancaster, CA 93534-4088 | 2007-05-09 |
1942423553 | Linda Elizabeth Robinson | Nurse Practitioner | 44105 15th St W, Suite 301, Lancaster, CA 93534-4088 | 2007-04-11 |
1396888152 | Antelope Valley Urology Medical Group Inc | Specialist | 44105 15th St W, Suite 302, Lancaster, CA 93534-4088 | 2007-02-14 |
1922102052 | Steve S Koh | Urology | 44105 15th St W, #302, Antelope Valley Urology, Lancaster, CA 93534-4088 | 2006-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
Find all providers in zip 93534 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053356493 | Dean Alan Gant | Radiology | 1005 W Meeting St, Lancaster, SC 29720-2205 | 2006-06-19 |
1720430812 | Lancaster General Hospital | Radiology | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 | 2016-07-13 |
1609211184 | Pamela J Boimel | Radiology | 2100 Harrisburg Pike, Lancaster, PA 17601 | 2013-05-09 |
1184986879 | Wei-hsien Hou | Radiology | 44151 15th St W Ste 101, Lancaster, CA 93534-4079 | 2012-06-09 |
1558523217 | Ji Hyun Kim | Radiology | 44151 15th St W Ste 101, Lancaster, CA 93534-4079 | 2008-06-25 |
1639397342 | Roseann N. Romito | Radiology | 2100 Harrisburg Pike, Lancaster, PA 17601-2644 | 2007-04-20 |
1669427100 | Lancaster Radiology Associates, Ltd. | Radiology | 555 N Duke St, Lancaster, PA 17602-2250 | 2006-05-23 |
1821076571 | Kenneth G. Berkenstock | Radiology | 555 N Duke St, Lancaster, PA 17602-2250 | 2006-01-04 |
1336127018 | Kishor Singapuri | Radiology | 555 N Duke St, Lancaster, PA 17602-2250 | 2006-01-04 |
1205837663 | Lancaster Radiation Oncology, Inc. | Radiology | 401 N Ewing St, Lancaster, OH 43130-3372 | 2005-08-09 |
Find all providers in LANCASTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.