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Ashley Penland, PA-C

Physician Assistant in Fremont, CA. Individual provider (NPI-1).

NPI number1093470106
StatusActive
Last updated in NPPESNov 3, 2021

Details

NPI
1093470106
Entity type
Individual (NPI-1)
Name
Ms. Ashley Penland
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2021
Certification date
Nov 3, 2021
Last updated
Nov 3, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA59380CAYes

Practice location

3161 Walnut Ave
Fremont, CA 94538-2216

Phone 510-796-1000

Mailing address

36728 Birch St
Newark, CA 94560-3150

Phone 937-475-3080

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Fremont, CA

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