Active NPI
Denise Jensen
- Family Nurse Practitioner
- Torrance, CA
National Provider Identifier
1184291403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95021169
- Practice address
- 4235 Pacific Coast Hwy
Torrance, CA 90505-5525 - Phone
- (310) 373-6847
- NPI assigned
- Jun 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95021169 | CA | Primary |
Addresses
Primary practice location
4235 Pacific Coast Hwy
Torrance, CA 90505-5525
Mailing address
4235 Pacific Coast Hwy
Torrance, CA 90505-5525
Phone (310) 373-6847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363LF0000X | Medicaid | CA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95021169 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1184291403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 PACIFIC COAST HWY",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055525",
"telephone_number": "310-373-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 PACIFIC COAST HWY",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055525",
"telephone_number": "310-373-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-06",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95021169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363LF0000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.