JOSHUA PENGSON, M.D. INC. (NPI# 1346886140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346886140 |
| Entity Type | Organization |
| Organization Name | JOSHUA PENGSON, M.D. INC. |
| Practice Address |
23180 Hemlock Ave Ste 201 Moreno Valley CA 92557-8001 |
| Practice Telephone | 9512436460 |
| Mailing Telephone | 9512436460 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | DR. JOSHUA PENGSON (CEO) |
| Authorized Official Telephone | 9512436460 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1578925855 | 05 |
| Street Address |
23180 HEMLOCK AVE STE 201 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720018237 | Joel A Pengson | Internal Medicine | 23180 Hemlock Ave Ste 201, Moreno Valley, CA 92557-8001 | 2006-07-03 |
| 1578925855 | Joshua Pengson | Internal Medicine | 23180 Hemlock Ave Ste 201, Moreno Valley, CA 92557-8001 | 2016-03-24 |
| 1922432954 | Rosalyn Roncesvalles Elarmo | Nurse Practitioner | 23180 Hemlock Ave Ste 201, Moreno Valley, CA 92557-8001 | 2013-08-27 |
| 1437595873 | Moreno Valley Community Medical Group | Internal Medicine | 23180 Hemlock Ave Ste 201, Moreno Valley, CA 92557-8001 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692349 | Rowena Kai Ling Mak-huang | Internal Medicine | 11441 Heacock St Ste C, Moreno Valley, CA 92557-7907 | 2012-06-05 |
| 1477799344 | Shelly Xiaolei Xing Gammon | Internal Medicine | 27200 Iris Ave, Moreno Valley, CA 92555 | 2008-12-26 |
| 1669631016 | Sharareh Movafagh-tofigh | Internal Medicine | 12712 Heacock St Ste 1, Moreno Valley, CA 92553-3037 | 2008-06-02 |
| 1104022078 | Jose Limon Professional Medical Coorporation | Internal Medicine | 22635 Alessandro Blvd., Unit 400, Suite A, Moreno Valley, CA 92553-2854 | 2007-06-26 |
| 1659584019 | Srilakshmi Vemulakonda | Internal Medicine | 17771 Camino Del Rey, Moreno Valley, CA 92551-6354 | 2007-05-08 |
| 1083790513 | Gamal F Ghaly | Internal Medicine | 14114 Business Center Dr. Ste. G, Moreno Valley, CA 92553-9113 | 2006-10-27 |
| 1720018237 | Joel A Pengson | Internal Medicine | 23180 Hemlock Ave Ste 201, Moreno Valley, CA 92557-8001 | 2006-07-03 |
| 1366438574 | Johnny A Liquete | Internal Medicine | 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553-9113 | 2005-09-22 |
| 1437141660 | Cuong Robert Nguyen | Internal Medicine | 24853 Alessandro Blvd Ste 4, Moreno Valley, CA 92553-6102 | 2005-08-15 |
| 1841844891 | Cajon Medical Group PC | Internal Medicine | 23110 Atlantic Cir Ste F, Moreno Valley, CA 92553-5920 | 2019-07-29 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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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.