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DR. EDWIN PENG M.D.
NPI 1669506705
Psychiatry & Neurology - Child & Adolescent Psychiatry in Patton, CA

Active since March 14, 2007PECOS Enrolled
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369(909) 425-7679(909) 425-6635 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edwin Peng M.d. NPPES

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

DR. EDWIN PENG M.D. (NPI 1669506705) is an individual child & adolescent psychiatry provider in Patton, California, licensed in California (A69543) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669506705
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. EDWIN PENGCredential: M.D.
Location Address3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICEPatton, CA 92369
Mailing Address3102 E. Highland Avenue, Medical Staff OfficePatton, CA 92369 · (909) 425-7679 · Fax (909) 425-6635
Phone(909) 425-7679
Fax(909) 425-6635
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateDecember 19, 2013
✔ NPI 1669506705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A69543
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3102 E. HIGHLAND AVENUE, Patton, CA 92369
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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)

Dr. Edwin Peng 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.

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.

LEIGH A LINDSEY M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
KENNY CHAN WIN M.D.
Internal Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
NASHIRA YVETTE FUNN LCSW
Social Worker (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DEBRA F JOHNSON LCSW
Social Worker (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
MARIANITA ARALAR RAYMUNDO M.D.
Family Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. YVONNE CARROL MCDOWELL M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
MR. ROGER JOHN CABANSAG M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
KRISTINE I VINDUA PSY.D.
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, PATTON STATE HOSPITAL
PATTON, CA 92369
San Bernardino County (909) 425-7679

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 Edwin Peng's NPI number?

The NPI number for Edwin Peng is 1669506705. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Edwin Peng located?

Edwin Peng practices at 3102 E. Highland Avenue Medical Staff Office, Patton, CA 92369. The listed phone number is (909) 425-7679.

What is Edwin Peng's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Edwin Peng enrolled in Medicare?

Yes. Edwin Peng is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Peng was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.