NICOLE PENA D.O.
NPI 1811322274
Neuromusculoskeletal Medicine & OMM in Fairfield, CA

NPI Status: Active since September 04, 2013

Contact Information

2201 COURAGE DR
FAIRFIELD, CA
ZIP 94533
Phone: (707) 469-4640

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  • Individual
  • Female
  • Neuromusculoskeletal Medicine & OMM
  • PECOS Enrolled

About NICOLE PENA

This page provides the complete NPI Profile along with additional information for Nicole Pena, a provider established in Fairfield, California with a medical specialization in Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1811322274 assigned on September 2013. The practitioner's primary taxonomy code is 204D00000X with license number 20A14813 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1811322274
Provider Name
NICOLE PENA D.O.
Gender
Female
Entity Type
Individual
Location Address
2201 COURAGE DR FAIRFIELD, CA 94533
Location Phone
(707) 469-4640
Mailing Address
1310 CLUB DR VALLEJO, CA 94592
Mailing Phone
(707) 638-5217
Is Sole Proprietor?
No
Enumeration Date
09-04-2013
Last Update Date
04-11-2022
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Location Map

Secondary Locations

  • 150 Harbour Way
    Richmond, CA 94801
    (510) 981-4100
  • 1 1st St Ste 3
    Los Altos, CA 94022
    (650) 960-3485

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

Neuromusculoskeletal Medicine & OMM

Taxonomy Code
204D00000X
Type
Allopathic & Osteopathic Physicians
License No.
20A14813
License State
CA
Taxonomy Description
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Medicare Participation & PECOS Enrollment Status

Nicole Pena 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes

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

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for NICOLE PENA D.O.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811322274, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 6 + 2 + 4 + 2 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1811322274.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Pediatrics
2201 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2201 COURAGE DR
FAIRFIELD, CA 94533
Physician Assistant (Medical)
2201 COURAGE DR
FAIRFIELD, CA 94533
Nurse Practitioner (Family)
2201 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2201 COURAGE DR
FAIRFIELD, CA 94533
Family Medicine
2201 COURAGE DR
FAIRFIELD, CA 94533
Pediatrics
2201 COURAGE DR
FAIRFIELD, CA 94533
Counselor
2201 COURAGE DR
FAIRFIELD, CA 94533
Physician Assistant
2201 COURAGE DR
FAIRFIELD, CA 94533
Family Medicine
2201 COURAGE DR
FAIRFIELD, CA 94533
Pediatrics
2201 COURAGE DR, MS-9100
FAIRFIELD, CA 94533
Neuromusculoskeletal Medicine & OMM
2201 COURAGE DR
FAIRFIELD, CA 94533
Family Medicine
2201 COURAGE DR
FAIRFIELD, CA 94533
Family Medicine
2201 COURAGE DR
FAIRFIELD, CA 94533
Internal Medicine
2201 COURAGE DR
FAIRFIELD, CA 94533
Clinic/Center (Federally Qualified Health Center (FQHC))
2201 COURAGE DR
FAIRFIELD, CA 94533
Clinic/Center (Medical Specialty)
2201 COURAGE DR
FAIRFIELD, CA 94533
Clinic/Center (Family Planning, Non-Surgical)
2201 COURAGE DR
FAIRFIELD, CA 94533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811322274, enumerated as an "individual" on September 04, 2013.

The provider is located at 2201 COURAGE DR FAIRFIELD, CA 94533 and the phone number is (707) 469-4640.

Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.