Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ROSALIE PENA-PRIDMORE, MD
ActiveMARY ROSALIE PENA-PRIDMORE, MD is a Family Medicine healthcare provider located in LIVE OAK, California. NPI 1336240837 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LIVE OAK, CA
Registration Details
- NPI Number
- 1336240837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2006 (19.884092702932 yrs)
- Last Updated
- Nov 6, 2018
- Licenses
-
51623 (CA)C51623 (CA)
Practice Information
- Address
-
9980 LIVE OAK BLVDLIVE OAK, CA, 959532334Browse CA providers · Browse ZIP 95953
- Phone
- 5307493242
- Fax
- 5307493248
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LIVE OAK, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SACHIN S SINGH | M.D. | 1255628285 |
| CAMILLE L MUNDH | FNP-C | 1083322168 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.