PENGSE PO DO
NPI 1528643137
Preventive Medicine - Aerospace Medicine in San Diego, CA

Active since March 15, 2021PECOS Enrolled
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134(781) 244-8817 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Sep 12, 2024, Sep 4, 2024 and 2 more (5 updates tracked since 2021).

About Pengse Po Do NPPES

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

PENGSE PO DO (NPI 1528643137) is an individual aerospace medicine provider in San Diego, California, licensed in Virginia (0102207368) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528643137
Entity TypeIndividualMale
Primary Taxonomy2083A0100X
Provider Legal NamePENGSE POCredential: DO
Location AddressNAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DRSan Diego, CA 92134-5000
Mailing Address2496 Bauer RdSan Diego, CA 92126 · (619) 881-9011
Sole ProprietorNo
Enumeration DateMarch 15, 2021
Last NPPES UpdateOctober 15, 20255 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1528643137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License Licensed in VA · 0102207368
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedGeneral PracticeTaxonomy 208D00000X · License 20A23397 (CA)
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, San Diego, CA 92134

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pengse Po Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
Pediatrics
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
Physical Therapist
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
Student in an Organized Health Care Education/Training Program
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134

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 Pengse Po's NPI number?

The NPI number for Pengse Po is 1528643137. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Where is Pengse Po located?

Pengse Po practices at Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (781) 244-8817.

What is Pengse Po's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Pengse Po enrolled in Medicare?

Yes. Pengse Po is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pengse Po was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.