Doctor profile · Federal record
Dr. Penny Goumenidis, PA-C
Physician Assistant · Physician Assistant · Modesto, CA
- NPI 1063115137
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1441 Florida Ave
Modesto, CA 953504404
(209) 578-1211 - Mailing address
-
425 Dellbrook Ave
South San Francisco, CA 940801231
Credentials & registration
- NPI registered
- March 2023 — 3 yrs on file
- Profile last updated
- May 16, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #62524
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063115137. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 1 | $16.83 |
By nature of payment
Frequently asked questions
What is Dr. Penny Goumenidis's medical specialty?
Dr. Penny Goumenidis practices Physician Assistant in Modesto, CA.
Where does Dr. Penny Goumenidis practice?
Dr. Penny Goumenidis practices at 1441 Florida Ave, Modesto, CA 953504404. Office phone: 2095781211.
What is Dr. Penny Goumenidis's NPI?
Dr. Penny Goumenidis's National Provider Identifier (NPI) is 1063115137, issued by NPPES.
Does Dr. Penny Goumenidis accept Medicare assignment?
Yes. Dr. Penny Goumenidis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.