DR. JEFFREY PENNER (NPI# 1104178078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104178078 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY PENNER |
| Credential | PHD |
| Practice Address |
8885 Rio San Diego Dr Suite 325 San Diego CA 92108-1624 |
| Practice Telephone | 6192978640 |
| Practice Fax Number | 6192970122 |
| Mailing Telephone | 6192978640 |
| Mailing Fax Number | 6192970122 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7094 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790883601 | Jeffrey Stuart Penner | Specialist | 130 John F Kennedy Dr Ste 201, Atlantis, FL 33462-1142 | 2006-09-21 |
| 1952846651 | Jeffrey Penner | Dentist | 4205 Hillsboro Pike Ste 101, Nashville, TN 37215-3381 | 2017-01-04 |
| Street Address |
8885 RIO SAN DIEGO DR SUITE 325 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447317946 | Shamaine Alyce Cardoza | Marriage & Family Therapist | 8885 Rio San Diego Dr, Suite 365, San Diego, CA 92108-1624 | 2007-01-03 |
| 1659913093 | Kelsey Elizabeth Greene | Behavioral Analyst | 8885 Rio San Diego Dr, San Diego, CA 92108-1624 | 2019-10-16 |
| 1487024824 | Dr Rkione Britton Chiropractic Corp | Chiropractor | 8885 Rio San Diego Dr, Suite 357b, San Diego, CA 92108-1624 | 2015-09-28 |
| 1477945012 | Leigh Caulk | Chiropractor | 8885 Rio San Diego Dr, #357, San Diego, CA 92108-1624 | 2015-02-18 |
| 1841602109 | Tamie Yahagi | Acupuncturist | 8885 Rio San Diego Dr, Suite 357, San Diego, CA 92108-1624 | 2014-05-21 |
| 1083039861 | Access To Independence of San Diego Inc. | Case Management | 8885 Rio San Diego Dr, Suite 131, San Diego, CA 92108-1624 | 2014-03-03 |
| 1841624814 | Elizabeth Canter | Acupuncturist | 8885 Rio San Diego Dr, Ste 357, San Diego, CA 92108-1624 | 2013-08-27 |
| 1851650147 | Jennifer Lynn Torres | Contractor | 8885 Rio San Diego Dr, Ste 345, San Diego, CA 92108-1624 | 2012-05-08 |
| 1891087698 | Lindsey Kay Schiele | Massage Therapist | 8885 Rio San Diego Dr, #345, San Diego, CA 92108-1624 | 2011-05-11 |
| 1760620884 | San Diego Psychotherapy Services | Marriage & Family Therapist | 8885 Rio San Diego Dr, Ste 365, San Diego, CA 92108-1624 | 2009-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on DR. JEFFREY PENNER.
| 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.