Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Emily G Pengelly, PA-C, MD

Individual provider Physician Assistant · NPI 1699072470

MS. Emily G Pengelly, PA-C, MD is a Physician Assistant in Santa Rosa, California. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone: (707) 495-3732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 331 Olcott Dr Ste U3, White River Junction, VT 05001-9263 — (802) 295-6132

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1699072470
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2011
Last updated in NPPESMarch 17, 2024
Certification dateMarch 17, 2024

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