PENSCOTT MEDICAL CORPORATION
NPI 1316038920
Family Medicine in Danville, CA
About Penscott Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENSCOTT MEDICAL CORPORATION (NPI 1316038920) is a healthcare organization registered as a family medicine in Danville, California and active in the NPI registry since September 2006. The organization lists John William Roberts, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Penscott Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Penscott Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Penscott Medical Corporation's NPI number?
The NPI number for Penscott Medical Corporation is 1316038920. It was assigned to this organization in the NPPES registry on September 27, 2006.
Where is Penscott Medical Corporation located?
Penscott Medical Corporation is located at 4165 Blackhawk Plaza Cir #250, Danville, CA 94506. The listed phone number is (925) 736-8510.
What is Penscott Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Penscott Medical Corporation enrolled in Medicare?
Yes. Penscott Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Penscott Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Penscott Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Penscott Medical Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Penscott Medical Corporation · NPI 1316038920
Family Medicine organization in Danville, California. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1316038920 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Roberts, PRESIDENT
## Practice location
- **Address:** 4165 BLACKHAWK PLAZA CIR, #250, Danville, CA 94506-4904
- **Phone:** (925) 736-8510 · **Fax:** (925) 736-2491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1316038920) · Data from the CMS NPPES public registry.