Individual provider Active NPI

Jennifer L Ensminger, M.D.

  • Ophthalmology Physician
  • Paradise, CA
National Provider Identifier
1184600108
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A102699 Issued in CA
Practice address
6283 Clark Rd
Suite #10
Paradise, CA 95969-4100
Phone
(530) 877-2020
Fax
(530) 877-4641
NPI assigned
Dec 21, 2005
Last updated
Sep 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 47903 MN
Ophthalmology Physician 207W00000X A102699 CA Primary

Addresses

Primary practice location

6283 Clark Rd
Suite #10
Paradise, CA 95969-4100

Mailing address

6283 Clark Rd
Suite 10
Paradise, CA 95969-4100
Phone (530) 877-2020

Other identifiers 2

IdentifierTypeStateIssuer
P00448265OtherMNMEDICARE RAILROAD
107643400MedicaidMN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090415000417 CA Practitioner - Ophthalmology 5698793412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bakersfield Eye Institute IncGroup PAC ID 7517029184, 6 clinicians

Practice addresses (Care Compare)

7508 Meany Ave
Bakersfield, CA 93308-5178
Phone (661) 589-9400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A102699CAMDOphthalmology Physician
47903MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Eye Institute Inc Ophthalmology CurrentSince Jan 25, 2025 Accepting new patients

Locations

7508 Meany Ave
Bakersfield, CA 93308
Phone (661) 410-0010

7508 Meany Ave
#A
Bakersfield, CA 93308
Phone (661) 589-9400

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1184600108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "SUITE 10",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-877-2020",
            "fax_number": "530-877-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD",
            "address_2": "SUITE #10",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-877-2020",
            "fax_number": "530-877-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSMINGER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "47903",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A102699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00448265",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107643400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.