MISS THERESA MARIE PENA RDH
NPI 1518760149
Specialist in San Luis Obispo, CA

Active since March 29, 2025
1428 PHILLIPS LN STE 101, SAN LUIS OBISPO, CA 93401(805) 242-2430 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Jan 21, 2026, Mar 29, 2025 (3 updates tracked since 2025).

About Miss Theresa Marie Pena Rdh NPPES

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

MISS THERESA MARIE PENA RDH (NPI 1518760149) is an individual specialist in San Luis Obispo, California, licensed in California (21606) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1518760149
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMISS THERESA MARIE PENACredential: RDH
Location Address1428 PHILLIPS LN STE 101San Luis Obispo, CA 93401-2550
Mailing Address401 Yerba Buena StMorro Bay, CA 93442-2973 · (805) 540-9340
Sole ProprietorYes
Enumeration DateMarch 29, 2025
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1518760149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · 21606
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1428 PHILLIPS LN STE 101, San Luis Obispo, CA 93401

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 Theresa Pena's NPI number?

The NPI number for Theresa Pena is 1518760149. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Theresa Pena located?

Theresa Pena practices at 1428 Phillips Ln Ste 101, San Luis Obispo, CA 93401. The listed phone number is (805) 242-2430.

What is Theresa Pena's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theresa Pena was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.