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WENDY L. DE LA PENA M.D.
NPI 1407890429
Pediatrics - Pediatric Rheumatology in San Bernardino, CA

Active since June 16, 2006PECOS Enrolled
85.18/100
CMS Quality Rating
2195 CLUB CENTER DR STE G, SAN BERNARDINO, CA 92408(909) 835-1801(909) 835-1858 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wendy L. De La Pena M.d. NPPES

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

WENDY L. DE LA PENA M.D. (NPI 1407890429) is an individual pediatric rheumatology provider in San Bernardino, California, licensed in California (A78894) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Bernardino.

NPPES Registry Identity

NPI1407890429
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameWENDY L. DE LA PENACredential: M.D.
Location Address2195 CLUB CENTER DR STE GSan Bernardino, CA 92408
Mailing AddressFile Number 54701Los Angeles, CA 90074-0001 · (909) 558-4000
Phone(909) 835-1801
Fax(909) 835-1858
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateNovember 6, 2019
✔ NPI 1407890429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in CA · A78894
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X · License A78894 (CA)
2195 CLUB CENTER DR STE G, San Bernardino, CA 92408
Open in Google Maps ↗

Secondary Practice Location 1

Location 12195 Club Center Dr Ste GSan Bernardino, CA 92408 · Phone (909) 835-1801 · Fax (909) 835-1858

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendy L. De La Pena M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Wendy De La Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm
Same address
Ophthalmology
2195 CLUB CENTER DR, SUITE A-L
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1962452714 (909) 558-2154
Sac Health System
3.0 mi
Federally Qualified Health Center (FQHC)
781 W 2ND ST STE A
San Bernardino, CA 92410
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1982164877 (909) 382-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES

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

LAUREN MARIE SIGSWORTH HARPER MD
Pediatrics
2195 CLUB CENTER DR STE G
SAN BERNARDINO, CA 92408
San Bernardino County (909) 835-1802

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 Wendy De La Pena's NPI number?

The NPI number for Wendy De La Pena is 1407890429. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Wendy De La Pena located?

Wendy De La Pena practices at 2195 Club Center Dr Ste G, San Bernardino, CA 92408. The listed phone number is (909) 835-1801.

What is Wendy De La Pena's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Wendy De La Pena enrolled in Medicare?

Yes. Wendy De La Pena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wendy De La Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy De La Pena reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (San Bernardino, CA) and Sac Health System (San Bernardino, CA). Each 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 Wendy De La Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wendy De La Pena was last updated on November 6, 2019. 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.