SIERRA PENA MD
NPI 1962573964
Family Medicine in Pismo Beach, CA
About Sierra Pena Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIERRA PENA MD (NPI 1962573964) is an individual family medicine provider in Pismo Beach, California, licensed in California (C193631) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sierra Pena Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sierra Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St George, UT 84790
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Lihue, HI 96766
- Reassigned Medicare billing, Hawaii enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lds Hospital
Acute Care Hospitals · Salt Lake City, UTIntermountain Medical Center
Acute Care Hospitals · Murray, UTPark City Hospital
Acute Care Hospitals · Park City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PISMO BEACH, CA 93449
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 Sierra Pena's NPI number?
The NPI number for Sierra Pena is 1962573964. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Sierra Pena located?
Sierra Pena practices at 2 James Way Ste 106, Pismo Beach, CA 93449. The listed phone number is (805) 473-7665.
What is Sierra Pena's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sierra Pena enrolled in Medicare?
Yes. Sierra Pena 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.
Which organizations bill Medicare for Sierra Pena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sierra Pena reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (St George, UT) and Kauai Medical Clinic (Lihue, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sierra Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sierra Pena accept?
Health plans from Select Health list Sierra Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sierra Pena affiliated with any hospitals?
According to CMS data, Sierra Pena is affiliated with Lds Hospital, Intermountain Medical Center and Park City Hospital.
When was this NPI record last updated?
The NPPES record for Sierra Pena was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Sierra Pena, MD · NPI 1962573964
Family Medicine physician in Pismo Beach, California. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1962573964 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** C193631 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 JAMES WAY STE 106, Pismo Beach, CA 93449-4974
- **Phone:** (805) 473-7665 · **Fax:** (805) 473-7666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1457496531, St George, UT); Kauai Medical Clinic (NPI 1376596643, Lihue, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Stanford University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** September 24, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1962573964) · Data from the CMS NPPES public registry.