LILLIAN PENG
NPI 1710636832
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143(415) 476-1000 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lillian Peng NPPES

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

LILLIAN PENG (NPI 1710636832) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710636832
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILLIAN PENG
Location Address505 PARNASSUS AVESan Francisco, CA 94143-2204
Mailing Address207 5th Ave Sw Apt 205Rochester, MN 55902-3115
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
NPI 1710636832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
505 PARNASSUS AVE, San Francisco, CA 94143

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lillian Peng is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577935675
PECOS Enrollment IDI20250916003777
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.

Nurse Practitioner (Neonatal)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Hospitalist
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Internal Medicine (Geriatric Medicine)
505 PARNASSUS AVE, 15 LONG
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Nurse Anesthetist, Certified Registered
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143

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 Lillian Peng's NPI number?

The NPI number for Lillian Peng is 1710636832. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Lillian Peng located?

Lillian Peng practices at 505 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 476-1000.

What is Lillian Peng's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lillian Peng enrolled in Medicare?

Yes. Lillian Peng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lillian Peng was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.