JOSE M PENA
NPI 1588719629
Pediatrics in Menlo Park, CA

NPI Status: Active since January 25, 2007

Contact Information

795 WILLOW RD
BLDG 334
MENLO PARK, CA
ZIP 94025
Phone: (650) 573-2222

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  • Individual
  • Male
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About JOSE PENA

This page provides the complete NPI Profile along with additional information for Jose Pena, a pediatrician established in Menlo Park, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1588719629 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X with license number A62167 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1588719629
Provider Name
JOSE M PENA
Gender
Male
Entity Type
Individual
Location Address
795 WILLOW RD BLDG 334 MENLO PARK, CA 94025
Location Phone
(650) 573-2222
Mailing Address
795 WILLOW RD BLDG 334 MENLO PARK, CA 94025
Mailing Phone
(650) 573-2222
Is Sole Proprietor?
No
Enumeration Date
01-25-2007
Last Update Date
07-08-2007
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A pediatrician like Jose Pena is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
A62167
License State
CA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00A621670MEDICAID (05)CA 

Medicare Participation & PECOS Enrollment Status

Jose Pena is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94025 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $104.51
  • Minimum New Patient Price $69
  • Maximum New Patient Price $202.35
  • Average New Patient Copayment $26.12
  • Minimum New Patient Copayment $17.25
  • Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $119.48
  • Minimum Established Patient Price $23.44
  • Maximum Established Patient Price $166.46
  • Average Established Patient Copayment $29.87
  • Minimum Established Patient Copayment $5.86
  • Maximum Established Patient Copayment $41.61

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JOSE M PENA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588719629
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681411864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 4 + 1 + 1 + 8 + 6 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1588719629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205899168MS. VIVIAN CHAN MS, NP
Individual
Nurse Practitioner (Gerontology)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1346290004 ANNETTE KATANO R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)795 WILLOW RD MP-170A
MENLO PARK, CA 94025
(650) 493-5000
1710930417MS. KATHRINE SUZANNE SEVERIN LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1932153764 GLORIA JULIANA KINDT MARAMBA PH.D.
Individual
Psychologist (Clinical)795 WILLOW RD ATTN: VAPAHCS MENTAL HEALTH CLINIC
MENLO PARK, CA 94025
(650) 493-5000
1619923489DR. JUDITH STEVENS M.D.
Individual
Psychiatry & Neurology (Psychiatry)795 WILLOW RD 170A-MPD
MENLO PARK, CA 94025
(650) 493-5000
1093752784DR. BRUCE STEVEN LINENBERG PH.D.
Individual
Psychologist (Clinical)795 WILLOW RD BUILDING 321
MENLO PARK, CA 94025
(650) 493-5000
1730127630MRS. JUDITH ANN FARIS NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)795 WILLOW RD BLDG 352-121
MENLO PARK, CA 94025
(650) 493-5000
1407895287DR. TINA T LEE M.D.
Individual
Psychiatry & Neurology (Psychiatry)795 WILLOW RD MC:334-PTSD
MENLO PARK, CA 94025
(650) 493-5000
1619917978MS. SUSAN IRENE DUNN BSN,M.N, ANP-C
Individual
Nurse Practitioner (Adult Health)795 WILLOW RD BUILDING 324 E112A
MENLO PARK, CA 94025
(650) 493-5000
1588607261DR. SUSAN GAIL ANDERSON PH.D.
Individual
Psychologist795 WILLOW RD HVRP PAVAMC MC 180D
MENLO PARK, CA 94025
(650) 493-5000
1235165952DR. LAWRENCE MALCUS PH.D.
Individual
Psychologist (Clinical)795 WILLOW RD VA PALO ALTO HEALTH CARE SYSTEM (180D)
MENLO PARK, CA 94025
(650) 493-5000
1275562936MS. SUSAN ELAINE GUILD LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(659) 493-5000
1154347334MS. SHERRY JEANINE RINEY MSW, LCSW
Individual
Social Worker (Clinical)795 WILLOW RD NCPTSD (352/MP), VA PALO ALTO HCS
MENLO PARK, CA 94025
(650) 493-5000
1457379620MS. BETH LILIAN GOLDFADEN LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1174542997MR. JOHN MICHAEL SIRLEY LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1801816467 SOPHIA JI HYE KIM M.D.
Individual
Internal Medicine (Geriatric Medicine)795 WILLOW RD 118MPD
MENLO PARK, CA 94025
(650) 493-5000
1518987593MS. LISA ELEANOR SHARP RN
Individual
Nurse Practitioner (Adult Health)795 WILLOW RD BLDG 324, GEROPSYCHIATRIC NURSING HOME
MENLO PARK, CA 94025
(650) 493-5000
1093735235MS. CELIA K. MAHER LCSW
Individual
Social Worker (Clinical)795 WILLOW RD MPD 122
MENLO PARK, CA 94025
(650) 493-5000
1144240169MS. PATRICIA DILKIAN RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1841213063 ROBERT LYMAN ANSON LCSW
Individual
Social Worker (Clinical)795 WILLOW RD #122
MENLO PARK, CA 94025
(650) 493-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588719629, enumerated in the NPI registry as an "individual" on January 25, 2007

The provider is located at 795 Willow Rd Bldg 334 Menlo Park, Ca 94025 and the phone number is (650) 573-2222

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $104.51 with an average copayment of $26.12 for new patient appointments. Established patients should expect a typical charge of $119.48 and an average copayment of 29.87. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on January 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.