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PENNY R. VANDESTREEK DO, INC.
NPI 1558540526
Nuclear Medicine - Nuclear Imaging & Therapy in Roseville, CA

Active since October 26, 2007
1 MEDICAL PLAZA DR, ATT NUCLEAR MEDICINE, ROSEVILLE, CA 95661(916) 781-1292(916) 663-9912 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penny R. Vandestreek Do, Inc. NPPES

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

PENNY R. VANDESTREEK DO, INC. (NPI 1558540526) is a healthcare organization registered as a nuclear imaging & therapy in Roseville, California and active in the NPI registry since October 2007. The organization lists Penny R Vandestreek, President, as its authorized official.

NPPES Registry Identity

NPI1558540526
Entity TypeOrganization
Primary Taxonomy207UN0902X
Legal Business NamePENNY R. VANDESTREEK DO, INC.
Location Address1 MEDICAL PLAZA DR, ATT NUCLEAR MEDICINERoseville, CA 95661-3037
Mailing AddressPo Box 1328Rocklin, CA 95677-7328 · (916) 781-1292 · Fax (916) 663-9912
Phone(916) 781-1292
Fax(916) 663-9912
Organization SubpartNo
Authorized OfficialPenny R VandestreekPresident · (916) 781-1292
Enumeration DateOctober 26, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1558540526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNuclear Medicine · Nuclear Imaging & TherapyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0902X
License✔ Licensed in CA · 20A6232
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
1 MEDICAL PLAZA DR, Roseville, CA 95661
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Other Identifiers 4

OtherP00017739Railroad Medicare
Medicare PINZZZ24573ZCA
Medicare UPINF24126
Medicaid00AX62320CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

IQBAL SINGH GREWAL MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
MICHELLE LYNNE STONE
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 292-0294
PREYA S SHETH
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
CHAN MI SUNG FNP-BC
Nurse Practitioner (Family)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
ARIANNA GREGG
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 292-0294
KIMBERLY S. NEWLIN NP
Nurse Practitioner
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1670
NAVEEN REDDY MD
Internal Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
SARA MASHAYEKAN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000

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 Penny R. Vandestreek Do, Inc.'s NPI number?

The NPI number for Penny R. Vandestreek Do, Inc. is 1558540526. It was assigned to this organization in the NPPES registry on October 26, 2007.

Where is Penny R. Vandestreek Do, Inc. located?

Penny R. Vandestreek Do, Inc. is located at 1 Medical Plaza Dr Att Nuclear Medicine, Roseville, CA 95661. The listed phone number is (916) 781-1292.

What is Penny R. Vandestreek Do, Inc.'s specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Imaging & Therapy, with taxonomy code 207UN0902X.

When was this NPI record last updated?

The NPPES record for Penny R. Vandestreek Do, Inc. was last updated on June 30, 2008. 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.