| Keith E Penera, DPM | |
|
31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-8704 | |
| (949) 661-9600 | |
| (949) 443-6200 |
| Full Name | Keith E Penera |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 17 Years |
| Location | 31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982834347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | EL1784 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4975 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorialcare Long Beach Medical Center | Long beach, CA | Hospital |
| Provider Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Provider Name | Centers for Family Medicine GP |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
| Provider Name | Memorialcare Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Provider Name | Keith Penera Podiatry Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154114973 PECOS PAC ID: 0446763908 Enrollment ID: O20250630000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith E Penera, DPM 31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-8704 Ph: (949) 661-9600 | Keith E Penera, DPM 31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675-8704 Ph: (949) 661-9600 |
Dr. Timothy Dale James, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 31103 Rancho Viejo Rd # 2328, San Juan Capistrano, CA 92675 Phone: 909-702-3220 |