Mr Alex Kenneth Pena, is a
Community Health Worker based in Oakland, California. Mr Alex Kenneth Pena is licensed to practice in California (license number 92604) and his current practice location is
390 40th St, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 613-0330.
NPI number for Mr Alex Kenneth Pena is 1992286520 and his current mailing address is 390 40th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992286520.
Healthcare Provider's Profile
| Full Name | Mr Alex Kenneth Pena |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 390 40th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992286520
- Provider Enumeration Date: 08/22/2018
- Last Update Date: 08/07/2023
Medical Identifiers
Medical identifiers for Mr Alex Kenneth Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992286520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | 92604 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alex Kenneth Pena is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Alex Kenneth Pena,
390 40th St,
Oakland, CA 94609-2633
Ph: (510) 613-0330 | Mr Alex Kenneth Pena,
390 40th St,
Oakland, CA 94609-2633
Ph: (510) 613-0330 |
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