DR. JEFFREY PENNER PHD
NPI 1104178078
Psychologist - Clinical in San Diego, CA
About Dr. Jeffrey Penner Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY PENNER PHD (NPI 1104178078) is an individual clinical provider in San Diego, California, licensed in California (7094) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeffrey Penner Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeffrey Penner's NPI number?
The NPI number for Jeffrey Penner is 1104178078. It was assigned to this individual provider in the NPPES registry on October 2, 2012.
Where is Jeffrey Penner located?
Jeffrey Penner practices at 8885 Rio San Diego Dr Suite 325, San Diego, CA 92108. The listed phone number is (619) 297-8640.
What is Jeffrey Penner's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jeffrey Penner enrolled in Medicare?
Yes. Jeffrey Penner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jeffrey Penner was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jeffrey Penner, PHD · NPI 1104178078
Clinical provider in San Diego, California. Individual provider, active in the CMS NPPES registry since October 2, 2012.
## Identity
- **NPI:** 1104178078 (Entity type: Individual)
- **Enumerated:** October 2, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 7094 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8885 RIO SAN DIEGO DR, SUITE 325, San Diego, CA 92108-1624
- **Phone:** (619) 297-8640 · **Fax:** (619) 297-0122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** October 2, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1104178078) · Data from the CMS NPPES public registry.