OMAR PENNEY FNP
NPI 1669822144
Nurse Practitioner - Family in Baldwin Park, CA

Q: What is Omar Penney's NPI number?

The NPI number for Omar Penney is 1669822144. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Omar Penney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Omar Penney was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 15, 2016PECOS Enrolled

14362 RAMONA BLVD, BALDWIN PARK, CA 91706(626) 337-0676 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Omar Penney Fnp NPPES

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

OMAR PENNEY FNP (NPI 1669822144) is an individual family provider in Baldwin Park, California, licensed in California (95004134) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669822144

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameOMAR PENNEYCredential: FNP

Location Address14362 RAMONA BLVDBaldwin Park, CA 91706-3241

Mailing Address7091 Stockton DrEastvale, CA 92880-3989 · (626) 589-7166

Phone(626) 337-0676

Sole ProprietorYes

Enumeration DateJune 15, 2016

✔ NPI 1669822144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95004134

14362 RAMONA BLVD, Baldwin Park, CA 91706

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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)

Omar Penney Fnp 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 91706 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 12

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

ANGELA ANDREA DIAZ PAC

Physician Assistant