Ms. Emily G Pengelly, PA-C, MD
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
1699072470- Practice location
- 401 Bicentennial Way, Santa Rosa, CA 95403-2149
- Phone
- 707-495-3732
- Fax
- —
- Last updated
- March 17, 2024
Emily G Pengelly is a Student in an Organized Health Care Education/Training Program based in Santa Rosa, CA. Emily G Pengelly practices in Santa Rosa, CA and has the professional credentials of PA-C, MD. The NPI Number for Emily G Pengelly is 1699072470. The current practice location address for Emily G Pengelly is 401 Bicentennial Way, Santa Rosa, CA 95403-2149 and can be reached out via phone at 707-495-3732.
Provider Profile Details
- NPI Number
- 1699072470
- Provider Name
- Emily G Pengelly
- Credential
- PA-C, MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 401 Bicentennial Way, Santa Rosa, CA 95403-2149
- Phone Number
- 707-495-3732
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 14, 2011
- Last Update Date
- March 17, 2024
- Certification Date
- March 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401 Bicentennial Way
Santa Rosa, CA 95403-2149 - City
- Santa Rosa
- State
- California
- Zip
- 95403-2149
- Phone Number
- 707-495-3732
Provider Business Mailing Address Details
- Address
- 746 Pattrell RD
Norwich, VT 05055-9479 - City
- Norwich
- State
- VT
- Zip
- 05055-9479
- Phone Number
- 210-723-1843
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Santa Rosa, CA
View all Student in an Organized Health Care Education/Training Program providers in Santa Rosa →- Kathryn M Fraboni, OTR/LOccupational Therapist, Physical Rehabilitation · NPI 1912506791
- Dr. James A Driscoll, MDInternal Medicine, Critical Care Medicine · NPI 1013094515
- Rami Y Abdou, MDOtolaryngology · NPI 1700143013
- Bay Area Foot Care INCPodiatrist, Foot & Ankle Surgery · NPI 1316816580
- Hans M AbukiBehavior Technician · NPI 1437976297
- Jaykah L AdamsBehavior Technician · NPI 1144003435
Frequently Asked Questions
What is the NPI number of Ms. Emily G Pengelly, PA-C, MD?
The NPI number of Ms. Emily G Pengelly, PA-C, MD is 1699072470. It was assigned on February 14, 2011 and is currently active in the NPPES registry.
What is the specialty of Ms. Emily G Pengelly, PA-C, MD?
Ms. Emily G Pengelly, PA-C, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Ms. Emily G Pengelly, PA-C, MD practice?
The practice location is 401 Bicentennial Way, Santa Rosa, CA 95403-2149. The office can be reached at 707-495-3732 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699072470 directly on the NPPES registry website.