Joel A Pengson (NPI# 1720018237, PAC ID# 9638135353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720018237 |
| PAC ID by PECOS | 9638135353 |
| Professional Enrollment ID | I20041204000223 |
| Full Name | Joel A Pengson |
| Address |
31571 Canyon Estates Dr Suite 219 Lake Elsinore CA 92532-0412 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050102 | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER |
| 050022 | RIVERSIDE COMMUNITY HOSPITAL |
| 050329 | CORONA REGIONAL MEDICAL CENTER |
| 050701 | SOUTHWEST HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 31571 Canyon Estates Dr, Suite 219, Lake Elsinore, CA 92532-0412 | ||
| 24060 Fir Ave, Moreno Valley, CA 92553-2895 | ||
| 24060 Fir Ave, Suite A, Moreno Valley, CA 92553-2895 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
31571 CANYON ESTATES DR SUITE 219 |
| City | LAKE ELSINORE |
| State | CA |
| Zip | 92532-0412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anoop Kumar Maheshwari | Pulmonary Disease | Anoop Maheshwari M.d Prof. Corp. | 31571 Canyon Estates Dr, Suite 219, Lake Elsinore, CA 92532-0412 |
| Michael D Molinari | Gastroenterology | United Medical Doctors | 31571 Canyon Estates Dr, Suite 131, Lake Elsinore, CA 92532-0471 |
| Young H Lee | Pulmonary Disease | Anoop Maheshwari M.d Prof. Corp. | 31571 Canyon Estates Dr, Suite 219, Lake Elsinore, CA 92532-0412 |
| Christine A Sullivan | Nurse Practitioner | Southern California Urgent Care Network | 31571 Canyon Estates Dr, Suite 100, Lake Elsinore, CA 92532-0471 |
| Peter G O'brien | Nurse Practitioner | Southern California Urgent Care Network | 31571 Canyon Estates Dr, Suite 100, Lake Elsinore, CA 92532-0471 |
| Anna M Knight | Nurse Practitioner | Southern California Urgent Care Network | 31571 Canyon Estates Dr, Suite 100, Lake Elsinore, CA 92532-0471 |
| Shadi A Qasqas | Cardiovascular Disease (cardiology) | 31571 Canyon Estates Dr, Suite 228, Lake Elsinore, CA 92532-0425 | |
| Edward J Politoske | Internal Medicine | United Medical Doctors | 31571 Canyon Estates Dr, Suite 131, Lake Elsinore, CA 92532-0471 |
| Kimberly Mai Quezada | Nurse Practitioner | Southern California Urgent Care Network | 31571 Canyon Estates Dr, Suite 100, Lake Elsinore, CA 92532-0471 |
| Judith C Blinkinsop | Physician Assistant | Southern California Urgent Care Network | 31571 Canyon Estates Dr, Suite 100, Lake Elsinore, CA 92532-0471 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Reza Danesh | Family Medicine | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | |
| Charles Francis Wetter | Physician Assistant | Southern California Primary Care Medical Group, Inc | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 |
| Brian K Connolly | Physician Assistant | Southern California Urgent Care Network | 31571 Canyon Estates Dr, Suite 100, Lake Elsinore, CA 92532-0471 |
| Sitha Sngoun | Physician Assistant | Southern California Urgent Care Network | 31571 Canyon Estates Dr, Suite 100, Lake Elsinore, CA 92532-0471 |
| Kimberly Edwards | Registered Dietitian Or Nutrition Professional | 45040 Promise Rd, Lake Elsinore, CA 92532-1500 | |
| Darryl L Davenport | Physician Assistant | Inland Urgent Care A Medical Corporation | 29997 Canyon Hills Rd, Suite 1604, Lake Elsinore, CA 92532-2581 |
| Sofia Gonzalez-post | Nurse Practitioner | Inland Urgent Care A Medical Corporation | 29997 Canyon Hills Rd, Suite 1604, Lake Elsinore, CA 92532-2581 |
| David Bedrous | Physician Assistant | Inland Urgent Care A Medical Corporation | 29997 Canyon Hills Rd, Suite 1604, Lake Elsinore, CA 92532-2581 |
| Carolyn A Edson | Family Practice | Inland Urgent Care A Medical Corporation | 29997 Canyon Hills Rd, Suite 1604, Lake Elsinore, CA 92532-2581 |
| Thi D Buu | Optometry | 25321 Railroad Canyon Rd, Suite 503, Lake Elsinore, CA 92532-2702 | |
| Find all physicians in zip 92532 | |||
| City | LAKE ELSINORE |
| Zip Code | 92532 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAKE ELSINORE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Joel A Pengson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.