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RODERICK D. PENALOSA M.A.
NPI 1487838843
Counselor - Mental Health in Oakland, CA

Active since December 20, 2007PECOS Enrolled
255 INTERNATIONAL BLVD, OAKLAND, CA 94606(510) 835-2777(510) 835-0164 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roderick D. Penalosa M.a. NPPES

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

RODERICK D. PENALOSA M.A. (NPI 1487838843) is an individual mental health provider in Oakland, California and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487838843
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRODERICK D. PENALOSACredential: M.A.
Location Address255 INTERNATIONAL BLVDOakland, CA 94606-2235
Mailing Address255 International Blvd.Oakland, CA 94606 · (510) 835-2777 · Fax (510) 835-0164
Phone(510) 835-2777
Fax(510) 835-0164
Sole ProprietorNo
Enumeration DateDecember 20, 2007
✔ NPI 1487838843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
255 INTERNATIONAL BLVD, Oakland, CA 94606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roderick D. Penalosa M.a. 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 Reassignment

Medicare enrollment records show Roderick Penalosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Talkspace Provider Network Ca PC
2,564 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, California enrollment
  • 97 clinicians in this Medicare group
NPI 1003506866 (212) 284-7206

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

Other Providers at the Same Location NPPES 18

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

MS. HA LE CAO
Marriage & Family Therapist
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
ANIL VERMA
Case Manager/Care Coordinator
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
MR. ANGELO ERCIA MPH
Community Health Worker
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
ANN MARIE ROJAS-CHEATHAM
Community Health Worker
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
JULIA MOON BRADLEY PSYD
Student in an Organized Health Care Education/Training Program
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
GERELMAA BATAA
Community Health Worker
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 229-7377
WOOKAJA PERAZA MFTI
Marriage & Family Therapist
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777
MR. DANIEL SEBASTIEN VAN BEEK B.A.
Student in an Organized Health Care Education/Training Program
255 INTERNATIONAL BLVD
OAKLAND, CA 94606
Alameda County (510) 835-2777

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 Roderick Penalosa's NPI number?

The NPI number for Roderick Penalosa is 1487838843. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Roderick Penalosa located?

Roderick Penalosa practices at 255 International Blvd, Oakland, CA 94606. The listed phone number is (510) 835-2777.

What is Roderick Penalosa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Roderick Penalosa enrolled in Medicare?

Yes. Roderick Penalosa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roderick Penalosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roderick Penalosa reassigns Medicare benefits to Talkspace Provider Network Ca PC (New York, NY). The 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 Roderick Penalosa'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 Roderick Penalosa was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.