Individual provider Active NPI

Steve Christian Jensen, DPM

  • Podiatrist
  • Sonora, CA
National Provider Identifier
1144223793
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2833 Issued in CA
Practice address
780 Delnero Dr
Sonora, CA 95370-5223
Phone
(209) 533-2468
Fax
(209) 533-1722
NPI assigned
May 27, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2833 CA Primary
Foot Surgery Podiatrist 213ES0131X E2833 CA

Addresses

Primary practice location

780 Delnero Dr
Sonora, CA 95370-5223

Mailing address

780 Delnero Dr
Sonora, CA 95370-5223
Phone (209) 533-2468

Other identifiers 1

IdentifierTypeStateIssuer
000E28330MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060321000475 CA Practitioner - Podiatry 9931116688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.39 of 100Reported as group
Quality
13.78
Promoting interoperability
0
Improvement activities
40
Cost
81.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2833CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Tuolumne Mewuk Indian Health Center, Inc CurrentSince Apr 15, 2024 Accepting new patients

Locations

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1144223793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 DELNERO DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705223",
            "telephone_number": "209-533-2468",
            "fax_number": "209-533-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 DELNERO DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705223",
            "telephone_number": "209-533-2468",
            "fax_number": "209-533-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "STEVE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-09-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2833",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E28330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.