NICOLE PENA (NPI# 1811322274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811322274 |
| Entity Type | Individual |
| Full Name | NICOLE PENA |
| Credential | D.O. |
| Practice Address |
365 Tuolumne St Vallejo CA 94590-5700 |
| Mailing Address |
1310 Club Dr Vallejo CA 94592-1187 |
| Practice Telephone | 7074694640 |
| Mailing Telephone | 7076385217 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 20A14813 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789779 | Nicole Marie Pena | Counselor | 2111 W. Congress Pkwy, Chicago, IL 60612 | 2018-11-26 |
| 1184981946 | Nicole Marie Pena | Licensed Practical Nurse | 14 King Ave, Selden, NY 11784-2315 | 2012-04-18 |
| 1356970198 | Nicole Maria Pena | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-03 |
| 1528310240 | Nicole Pena | Social Worker | 11428 N 53rd St, Tampa, FL 33617-2216 | 2012-10-04 |
| Street Address |
365 TUOLUMNE ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508844796 | Georgia Carol Allen | Internal Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2006-01-06 |
| 1720462468 | Jennifer Elton | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2015-07-13 |
| 1164802617 | Clipper Young | Pharmacist | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2015-05-30 |
| 1740687904 | Zenia Ticzon | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2014-12-03 |
| 1154672608 | Maria Gallego | Nurse Practitioner | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2012-09-24 |
| 1285996611 | Joy Amanda Dugan | Physician Assistant | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2012-06-12 |
| 1962797886 | Bronwyn Sing | Family Medicine | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2011-06-20 |
| 1730310236 | County of Solano | Clinic/Center | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2009-07-31 |
| 1003070541 | Christine Danielle Gorey | Obstetrics & Gynecology | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2008-07-14 |
| 1235392382 | Victor Alexander Nuno | Neuromusculoskeletal Medicine & OMM | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2008-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447597349 | Lee Ann Marie Cuny | Neuromusculoskeletal Medicine & OMM | 1502 Tennessee St, Vallejo, CA 94590-4627 | 2013-01-11 |
| 1528221223 | Leeann Marie Cuny | Neuromusculoskeletal Medicine & OMM | 805 Tuolumne St, Vallejo, CA 94590 | 2008-07-03 |
| 1275975302 | David William Crotty | Neuromusculoskeletal Medicine & OMM | 1310 Club Dr, Mare Island, Vallejo, CA 94592-1187 | 2013-07-17 |
| 1689975278 | James Wesley Binkerd | Neuromusculoskeletal Medicine & OMM | 1310 Club Drive, Vallejo, CA 94592 | 2010-11-12 |
| 1235392382 | Victor Alexander Nuno | Neuromusculoskeletal Medicine & OMM | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2008-07-09 |
| 1376674341 | John Charles Glover | Neuromusculoskeletal Medicine & OMM | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860743 | Roeshan Shadravan | Neuromusculoskeletal Medicine & OMM | 1505 Lomas Santa Fe Dr, Solana Beach, CA 92075-2103 | 2020-01-11 |
| 1548722416 | R. Mitchell Hiserote Do, Professional Corporation | Neuromusculoskeletal Medicine & OMM | 7064 Corline Ct Ste C1, Sebastopol, CA 95472-4528 | 2019-04-01 |
| 1851768899 | Petaluma Acupuncture Center | Neuromusculoskeletal Medicine & OMM | 720 Southpoint Blvd Ste 211, Petaluma, CA 94954-7496 | 2015-08-25 |
| 1063800258 | Kulveen Sachdeva, Md Inc. | Neuromusculoskeletal Medicine & OMM | 5401 Norris Canyon Road, Suite 110, San Ramon, CA 94583-5402 | 2014-12-23 |
| 1982010559 | Walter Jaye Cohen | Neuromusculoskeletal Medicine & OMM | 3706 Ruffin Rd Ste 129, San Diego, CA 92123-1812 | 2014-07-03 |
| 1962815068 | Sunil Bhat | Neuromusculoskeletal Medicine & OMM | 2555 Flores St Ste 395, San Mateo, CA 94403-2344 | 2014-06-05 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1285985820 | Annette Hulse | Neuromusculoskeletal Medicine & OMM | 1 1st St Ste 3, Los Altos, CA 94022-2753 | 2012-09-23 |
| 1871853796 | Brian Peternell | Neuromusculoskeletal Medicine & OMM | 584 35th Ave, Santa Cruz, CA 95062-5111 | 2012-05-24 |
| 1639455462 | Sanjay Chauhan Md Inc. | Neuromusculoskeletal Medicine & OMM | 2407 E Sussex Way Ste 107, Fresno, CA 93726-4035 | 2011-10-25 |
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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.