PRINCESS DELA PENA M.D.
NPI 1659787877
Pediatrics in Manteca, CA

Q: What is Princess Dela Pena's NPI number?

The NPI number for Princess Dela Pena is 1659787877. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Q: What is Princess Dela Pena's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 08, 2014PECOS Enrolled

165 SAINT DOMINICS DR STE 201, MANTECA, CA 95337(209) 823-2345(209) 239-1154 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 12, 2017 (3 updates tracked since 2017).

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About Princess Dela Pena M.d. NPPES

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

PRINCESS DELA PENA M.D. (NPI 1659787877) is an individual pediatrics provider in Manteca, California, licensed in California (A149269) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659787877

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NamePRINCESS DELA PENACredential: M.D.

Location Address165 SAINT DOMINICS DR STE 201Manteca, CA 95337-7802

Mailing AddressPo Box 255228Sacramento, CA 95865-5228

Phone(209) 823-2345

Fax(209) 239-1154

Sole ProprietorNo

Enumeration DateJuly 8, 2014

Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration

NPPES CertifiedDecember 22, 2023

✔ NPI 1659787877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A149269

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

165 SAINT DOMINICS DR STE 201, Manteca, CA 95337

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Princess Dela 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95337 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 8

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

SYED RAHMAN M.D.

Family Medicine