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DAVID R JENSEN MD A PROFESSIONAL CORPORATION NPI 1518228980


NPI Information

NPI: 1518228980
Provider Name: DAVID R JENSEN MD A PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3011 RANCHO VISTA BLVD
SUITE B-C
PALMDALE, CA
ZIP 93551
Phone: (661) 273-2556
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DAVID R JENSEN MD A PROFESSIONAL CORPORATION is a primary care clinic center in Palmdale, CA. DAVID R JENSEN MD A PROFESSIONAL CORPORATION NPI is 1518228980. The provider is registered as an organization entity type.

The provider's business location address is:

3011 RANCHO VISTA BLVD
SUITE B-C
PALMDALE, CA
ZIP 93551-821
Phone: (661) 273-2556
Fax: (661) 267-4847

The provider's authorized official is David Richard Jensen .
The authorized official title is Owner and has the following contact phone number (661) 273-2556.

The enumeration date for this NPI number is 6/1/2012 and was last updated on 6/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryG044704CALIFORNIANo
2302F00000XExclusive Provider OrganizationG044704CALIFORNIANo
3302R00000XHealth Maintenance OrganizationG044704CALIFORNIANo
4305R00000XPreferred Provider OrganizationG044704CALIFORNIANo
5332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesG044704CALIFORNIANo
63336M0002XPharmacyMail Order PharmacyG044704CALIFORNIANo
7261QP2300XClinic/CenterPrimary CareG044704CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A49723MEDICARE UPINCALIFORNIA
2G044704MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.