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

Holly Ann Penley

Individual provider Physician Assistant · NPI 1073303632

Holly Ann Penley is a Physician Assistant in Fresno, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

3425 N 1st St
Fresno, CA 93726-6821
Phone: (877) 960-3426
Fax: (559) 608-6582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66517 (CA)

Record details

NPI number1073303632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2025
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address3425 N 1st St, Fresno, CA 93726-6821

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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