Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlos Ernesto Pena, PA

Individual provider Physician Assistant · NPI 1447408570

Carlos Ernesto Pena, PA is a Physician Assistant in Douglas, Arizona. Qualified in 2008, 18 years ago. Practices with Bisbee Hospital Association, a 66-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 E 5th St
Douglas, AZ 85607-2859
Phone: (520) 364-7659
Fax: (520) 364-8541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4229 (AZ)

Record details

NPI number1447408570
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 3, 2008
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bisbee Hospital Association — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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