Active NPI
Robert A Jensen, CPO
- Prosthetist
- Oakland, CA
National Provider Identifier
1063690238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO 955
- Practice address
- 6001 Telegraph Ave
Oakland, CA 94609-1310 - Phone
- (510) 658-2062
- Fax
- (510) 658-7779
- NPI assigned
- Feb 9, 2008
- Last updated
- Feb 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO 955 | ||
| Prosthetist | 224P00000X | CPO 955 | Primary |
Addresses
Primary practice location
6001 Telegraph Ave
Oakland, CA 94609-1310
Mailing address
6001 Telegraph Ave
Oakland, CA 94609-1310
Phone (510) 658-2062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPO 955 | Other | ABC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurence of Oakland | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203811200000",
"number": "1063690238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091310",
"telephone_number": "510-658-2062",
"fax_number": "510-658-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091310",
"telephone_number": "510-658-2062",
"fax_number": "510-658-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-09",
"last_updated": "2008-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": "CPO 955",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": "CPO 955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC",
"identifier": "CPO 955",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.