Individual provider · Type 1 NPI

Penny Goumenidis, PA-C

Physician Assistant · Modesto, CA

NPI number 1063115137 Active

Practice location

1441 Florida Ave
Modesto, CA 95350-4404

Call (209) 578-1211 Map

Mailing address

425 Dellbrook Ave
South San Francisco, CA 94080-1231

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X62524 (CA)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063115137

Penny Goumenidis, PA-C's National Provider Identifier is 1063115137, issued on Mar 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Modesto, CA. The record was last updated on May 16, 2023.