NICOLE PENA D.O. – NPI #1811322274
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.

NICOLE PENA is a physician located in FAIRFIELD, CA. NPPES has assigned the NPI number 1811322274 to NICOLE PENA on September 04, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

The NPI profile was previously updated about 4 years ago on Apr 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE PENA below.

NPI Profile for
NICOLE PENA

NPI Number
1811322274
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE PENA
Credentials
D.O.
Primary location
2201 COURAGE DR
FAIRFIELD, CA 94533-6733
Phone: (707) 469-4640 Fax:
2 Other location(s):
1 1st St Ste 3
Los Altos, CA 94022-2753
Phone: (650) 960-3485
150 Harbour Way
Richmond, CA 94801-3554
Phone: (510) 981-4100
Mailing address
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone: (707) 638-5217 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)
CA 20A14813

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.