Penny Lane Makabenta, PA
Penny Lane Makabenta, PA is a Physician Assistant in Fullerton, California. Qualified in 2005, 21 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 21
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2720 N Harbor Blvd Ste 130Fullerton, CA 92835-2609 Not confirmed with CMS for 19 years — call before visiting
Phone: (714) 449-6230
Fax: (714) 449-1773
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA18214 (CA) |
|---|
Record details
| NPI number | 1245439157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 12, 2007 |
| Last updated in NPPES | July 12, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 396 |
| Average patient age | 75 |
Payments from drug and device companies, 2025
| Food and Beverage | $449 |
|---|
Practises at
- Providence St. Jude Medical Center Hospital · Fullerton, CA
Colleagues at Providence Medical Foundation
- Dr. Nikolai Alexander Bildzukewicz, MD Surgery Physician · Fullerton, CA
- Bernadine M Deramo, NP Internal Medicine Physician · Anaheim Hills, CA
- Kavit A Desouza, MD Cardiovascular Disease Physician · Apple Valley, CA
- Kristin Jean Gallinot, PA-C Medical Physician Assistant · Santa Rosa, CA
- Reza Govashiri, MD Internal Medicine Physician · Laguna Hills, CA
- Maica De Vera Javien, NP-C Family Nurse Practitioner · Fullerton, CA
- Keala Kaaikala, PA-C Physician Assistant · Victorville, CA
- Dr. Sarah Chan Yae Kim, MD Family Medicine Physician · Laguna Niguel, CA
- Dr. Alyssa Khanh-Van Le, MD Internal Medicine Physician · Mission Viejo, CA
- Donald Mahon, MD Specialist · Orange, CA
- Amairani Shirvanian Physician Assistant · Fullerton, CA
- Johanna Su, MD Obstetrics & Gynecology Physician · Fullerton, CA
Other providers in Fullerton
-
MS. Pei-Jing MA, PA
101 E Valencia Mesa Dr Em Dept, Fullerton, CA 92835-3809 · (714) 992-3965
-
MS. Hayley Elexis Macabuhay
2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 · (714) 510-6727
-
Meliyah Misciel Barrientos Macaraig
2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 · (714) 449-7400
-
Brandon Mack
2575 Yorba Linda Blvd, Fullerton, CA 92831-1699 · (714) 449-7400
-
Nida Mansoor
1565 S Harbor Blvd, Fullerton, CA 92832-3402 · (657) 217-5755
-
Sali Marroki
2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 · (714) 449-7400
-
Amanda May, PA-C
2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 · (714) 449-7400
-
Elyssa Summer McCormack, PA-C
101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 · (714) 626-8500