PRINCESS DELA PENA (NPI# 1659787877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659787877 |
| Entity Type | Individual |
| Full Name | PRINCESS DELA PENA |
| Credential | M.D. |
| Practice Address |
1144 Norman Dr Ste 203b Manteca CA 95336-5960 |
| Practice Telephone | 2092396008 |
| Practice Fax Number | 2092393408 |
| Mailing Telephone | (209) 239-6008 |
| Mailing Fax Number | 2092393408 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A149269 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 703 Main St, Paterson, NJ 075032621 | 9737544600 |
| Street Address |
1144 NORMAN DR STE 203B |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308830 | Bao-lan Raikar | Surgery | 1144 Norman Dr Ste 203b, Manteca, CA 95336 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134353915 | Bhavin Doshi | Pediatrics | 250 Northgate Dr, Manteca, CA 95336-3161 | 2009-05-08 |
| 1477510097 | Betalina Blanco Bumatay | Pediatrics | 1260 E North St, Manteca, CA 95336-4962 | 2006-04-27 |
| 1184683302 | Florinda Galang Mallorca | Pediatrics | 250 Cherry Ln, Suite 111, Manteca, CA 95337-4395 | 2006-03-17 |
| 1306829296 | Eduardo Jaime Sumaquial | Pediatrics | 1079 Eucalyptus St, Suite A, Manteca, CA 95337-4369 | 2005-11-23 |
| 1962833319 | First Choice Physician Partners | Pediatrics | 1079 Eucalyptus St, Suite #a, Manteca, CA 95337-4317 | 2013-12-11 |
| 1841550746 | Prachi Singh Chauhan | Pediatrics | 1144 Norman Dr, Suite 203b, Manteca, CA 95336-5925 | 2012-05-24 |
| 1588733786 | Mike Huang | Pediatrics | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-06 |
| 1598843088 | Bao-chau T. Nguyen | Pediatrics | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1518045400 | Diana F. Enrile | Pediatrics | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1407934300 | Felixberto Tejada | Pediatrics | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| Find all providers in MANTECA | ||||
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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.