CHARLES PENICK
NPI 1871970806
Family Medicine in Santa Clarita, CA

Q: What is Charles Penick's NPI number?

The NPI number for Charles Penick is 1871970806. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Q: What is Charles Penick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Charles Penick enrolled in Medicare?

No. Charles Penick has opted out of Medicare through September 24, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Charles Penick was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 April 28, 2015Opted out of Medicare · through Sep 24, 2026

27335 TOURNEY RD STE 100, SANTA CLARITA, CA 91355(661) 338-5983 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Charles Penick NPPES

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

CHARLES PENICK (NPI 1871970806) is an individual family medicine provider in Santa Clarita, California, licensed in Idaho (M-15738) and active in the NPI registry since April 2015. He has opted out of Medicare through September 24, 2026 and remains eligible to order and refer and maintains a secondary practice location in Garden City.

NPPES Registry Identity

NPI1871970806

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHARLES PENICK

Location Address27335 TOURNEY RD STE 100Santa Clarita, CA 91355-2200

Mailing Address5655 N Glenwood St Ste 105Garden City, ID 83714-1831

Phone(661) 338-5983

Sole ProprietorYes

Enumeration DateApril 28, 2015

Last NPPES UpdateDecember 5, 2024

NPPES CertifiedDecember 5, 2024

✔ NPI 1871970806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M-15738

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

27335 TOURNEY RD STE 100, Santa Clarita, CA 91355

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Secondary Practice Location 1

Location 15655 N Glenwood St Ste 105Garden City, ID 83714-1831 · Phone (208) 917-2772

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charles Penick has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 24, 2018 through September 24, 2026.

Opt-Out Effective DateSeptember 24, 2018

Opt-Out In Effect ThroughSeptember 24, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91355 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.

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 Charles Penick's NPI number?

The NPI number for Charles Penick is 1871970806. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Charles Penick located?

Charles Penick practices at 27335 Tourney Rd Ste 100, Santa Clarita, CA 91355. The listed phone number is (661) 338-5983.

What is Charles Penick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Penick enrolled in Medicare?

No. Charles Penick has opted out of Medicare through September 24, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Charles Penick was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.