GARY L JENSEN MD NPI 1558304139

NPI Information

  • NPI: 1558304139
  • Provider Name: GARY L JENSEN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 255 E BONITA AVE
    POMONA, CA
    ZIP 91767
  • Phone: (909) 450-0393

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NPI Details

Gary L Jensen, MD is a diagnostic radiology radiology in Pomona, CA with 44 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gary L Jensen, MD NPI is 1558304139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1982

The provider's business location address is:

255 E BONITA AVE
POMONA, CA
ZIP 91767-923
Phone: (909) 450-0393
Fax: (909) 450-0394

The NPI 1558304139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Screening mammography (HCPCS:77067)
  • Injection, lidocaine hcl for intravenous infusion, 10 mg (HCPCS:J2001)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Aspiration and/or injection of fluid from small joint using ultrasound guidance (HCPCS:20604)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • 3d radiographic procedure (HCPCS:76376)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest before and after contrast (HCPCS:71270)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • X-ray of hip, 1 view (HCPCS:73501)
  • Diagnostic mammography of 1 breast (HCPCS:77065)

The enumeration date for this NPI number is 6/13/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA43613CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A436130MEDICAIDCALIFORNIA
2WA43613CMEDICARE ID-TYPE UNSPECIFIED
3F10861MEDICARE UPIN
400A436130OTHERCALIFORNIABLUE SHIELD OF CA

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: 11/21/2025

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