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

Dr. Jeffrey Penner, PHD

Individual provider Clinical Psychologist · NPI 1104178078

Dr. Jeffrey Penner, PHD is a Clinical Psychologist in San Diego, California. Qualified in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Licensed in
CA
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8885 Rio San Diego Dr Ste 325
San Diego, CA 92108-1624
Phone: (619) 297-8640
Fax: (619) 297-0122
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

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 7094 (CA)

Record details

NPI number1104178078
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 2, 2012
Last updated in NPPESOctober 2, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Diego