Barbara Mae Bates-Jensen, PHD, RN

Individual provider Active NPI Medical-Surgical Registered Nurse · Sepulveda, CA

NPI 1144306804 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1144306804
Entity type
Individual (NPI type 1)
Primary specialty
Medical-Surgical Registered Nurse 163WM0705X
License
330295 (CA)
Practice address
16111 Plummer St
(11E)
Sepulveda, CA 91343-2036
Phone
(818) 895-9311
Fax
(818) 895-9519
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
330295CAMDGerontology Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Enterostomal Therapy Registered Nurse 163WE0900X 330295 CA
Gerontology Registered Nurse 163WG0600X 330295 CA
Medical-Surgical Registered Nurse 163WM0705X 330295 CA Yes
Wound Care Registered Nurse 163WW0000X 330295 CA

Addresses

Primary practice location

16111 Plummer St
(11E)
Sepulveda, CA 91343-2036

Mailing address

300 S Vinedo Ave
Pasadena, CA 91107-4824
Phone (626) 449-8208

Other providers in Sepulveda, CA

All providers in Sepulveda, CA · Medical-Surgical Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.