MS. MAYRA ALEXANDRA PENG PA-C
NPI 1366879306
Physician Assistant in Lompoc, CA

Q: What is Mayra Peng's NPI number?

The NPI number for Mayra Peng is 1366879306. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Q: What is Mayra Peng's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Peng was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 04, 2013

1515 E OCEAN AVE, LOMPOC, CA 93436(805) 737-3300 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Feb 22, 2018 (2 updates tracked since 2018).

On this page

About Ms. Mayra Alexandra Peng Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MAYRA ALEXANDRA PENG PA-C (NPI 1366879306) is an individual physician assistant in Lompoc, California, licensed in California (23217) and active in the NPI registry since October 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366879306

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. MAYRA ALEXANDRA PENGCredential: PA-C

Location Address1515 E OCEAN AVELompoc, CA 93436-7092

Mailing Address1515 E Ocean AveLompoc, CA 93436-7092 · (805) 737-3300

Phone(805) 737-3300

Sole ProprietorNo

Enumeration DateOctober 4, 2013

Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1366879306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CA · 23217✔ Licensed in MO · 2017041798

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1515 E OCEAN AVE, Lompoc, CA 93436

Open in Google Maps ↗

Secondary Practice Locations 2

Location 14234 Riverwalk Pkwy. Suite 230, Pacific Pulmonary Medical GroupRiverside, CA 92505 · Phone (951) 781-3672 · Fax (951) 781-0365

Location 21102 W 32nd St Ste 200Joplin, MO 64804-3503 · Phone (417) 347-5001 · Fax (417) 347-2477

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOSSAM GAMAL PHARMD

Pharmacist