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Ivan Pena

Counselor - Professional β€’ Oceanside, CA

Active NPI 1245877240 Individual Practitioner Male Practitioner
Practice location in NPPES

1738 S Tremont St
Oceanside, CA 920545309

Call 7605471381 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1738 S Tremont St

Oceanside, CA 920545309

Telephone 7605471381
Fax 7602315574
Organization at the Same NPPES Address or Phone
Community Research Foundation Inc Facility NPI 1295853265

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oceanside and California

25 active clinicians are listed under Counselor - Professional with a practice address in Oceanside, CA (3,967 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Oceanside

4% of these 25 clinicians have the CMS telehealth indicator.

4% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES CA 11940
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Geraldine Ingram , RBT

Behavior Technician

NPI 1922516988

Registered Behavior Technician

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2023

Counselor (license number reported to NPPES: CA 11940)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2022

Counselor

πŸ“
Updated Practice Location June 14, 2021

Registered at 1738 S TREMONT ST, OCEANSIDE, CA 920545309 (Tel: 7605471381)

πŸ“
Updated Business Mailing Address June 14, 2021

Registered at 1738 S TREMONT ST, OCEANSIDE, CA 920545309 (Tel: 7604392800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active December 09, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 09, 2019

Registered at 251 AIRPORT RD, OCEANSIDE, CA 920581201 (Tel: 7605471381)

πŸ“
Business Mailing Address (Initial Record) December 09, 2019

Registered at 251 AIRPORT RD, OCEANSIDE, CA 920581201 (Tel: 7605471381)

πŸ‘€
Provider Name / Credentials (Initial Record) December 09, 2019

Recorded as IVAN PENA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Behavior Technician (license number reported to NPPES: CA RBT-19-105091)

🟒
Initial NPI Registration & Enumeration December 09, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245877240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2019
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

1738 S Tremont St

Oceanside, CA 920545309

Phone: 7604392800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.