Wendy L. De La Pena

M.D. | Pediatric Rheumatology | Female

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Complete Profile:

Wendy L. De La Pena basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Wendy L. De La Pena
Credential :	M.D.
Gender :	Female

Business Address:

Wendy L. De La Pena address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2195 Club Center Dr Ste G San Bernardino, CA, 92408 United States
Phone Number :	909-835-1801
Fax Number :	909-835-1858

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1407890429
NPI Entity Type :	Individual
First Enrolment Date :	16 Jun, 2006
Last Updated On :	06 Nov, 2019

Medicare Participation:

Wendy L. De La Pena participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8527071083
Medicare Enrollment ID :	I20060728000385
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Wisconsin School Of Medicine
Graduation Year :	2000
Accepts Medicare?	Yes. Wendy L. De La Pena accepts medicare insurance.

Group Practice Association:

Wendy L. De La Pena is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Wendy L. De La Pena is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Faculty Physicians And Surgeons Of Llusm	1153227814	1049	11370 Anderson St Loma Linda, CA - 923543450	Yes
Faculty Physicians And Surgeons Of Llusm	1153227814	1049	250 E Caroline St Suite J San Bernardino, CA - 924083758 Ph: 9095586388	Yes
Faculty Physicians And Surgeons Of Llusm	1153227814	1049	28078 Baxter Rd Murrieta, CA - 925631402 Ph: 9095584000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wendy L. De La Pena are as mentioned. Primary taxonomy code for Wendy L. De La Pena, M.D. is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	A78894	CA
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	A78894	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
2195 CLUB CENTER DR STE G, SAN BERNARDINO, CA, 92408 United States	SAN BERNARDINO, CA	909-835-1801

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	File Number 54701 Los Angeles, CA, 90074-0001 United States
Phone Number :	909-558-4000

Business Location:

Patients can refer following map for directions to Wendy L. De La Pena practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.