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: July 19, 2026.

  • Individual
  • Male
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • PECOS Enrolled

About EDWIN PENG

This page provides the complete NPI Profile along with additional information for Edwin Peng, a provider established in Patton, California with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1669506705 assigned on March 2007. The practitioner's primary taxonomy code is 2084P0804X with license number A69543 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1669506705 Verify this NPI
Provider Name
DR. EDWIN PENG M.D.
Gender
Male
Entity Type
Individual
Location Address
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369
Location Phone
(909) 425-7679
Location Fax
(909) 425-6635
Mailing Address
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369
Mailing Phone
(909) 425-7679
Mailing Fax
(909) 425-6635
Is Sole Proprietor?
No
Enumeration Date
03-14-2007
Last Update Date
12-19-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
A69543
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Edwin Peng is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. EDWIN PENG M.D.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, PATTON STATE HOSPITAL
PATTON, CA 92369
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, PATTON STATE HOSPITAL
PATTON, CA 92369
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, PATTON STATE HOSPITAL
PATTON, CA 92369
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Internal Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CO 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Clinical Neuropsychologist
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Internal Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Internal Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychologist
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Neurology)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669506705, enumerated as an "individual" on March 14, 2007.

The provider is located at 3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE PATTON, CA 92369 and the phone number is (909) 425-7679.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.