IndividualActive
Omar Penney, FNP
NPI 1669822144 · Family Nurse Practitioner · Baldwin Park, CA
Provider details
- NPI number
- 1669822144
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95004134 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14362 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone: (626) 337-0676
Street-level locationGet directions
Mailing address
7091 Stockton Dr
Eastvale, CA 92880-3989
Registry dates
- Enumerated
- 2016-06-15
- Last updated
- 2016-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.