Peter M Jenson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A92857 Issued in CA

Practice address

1035 S Main Ave
Fallbrook, CA 92028-3338

Phone

(760) 291-6700

Fax

(760) 728-9732

NPI assigned

May 25, 2007

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of California, San Diego School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of North County San Diego Home health agency, San Marcos, CA, CCN 059474
• Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
• Vitas Healthcare Corporation of California Hospice, San Diego, CA, CCN 051597
• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
• Fallbrook Skilled Nursing Nursing home, Fallbrook, CA, CCN 055298

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Graybill Medical Group Inc

  • Family Medicine Physician
  • Escondido, CA
  • NPI 1891729745
  Medicare reassignment Care Compare group NPD
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fallbrook Healthcare Center Operating Company, LLC

  dba Fallbrook Skilled Nursing

  • Skilled Nursing Facility
  • Fallbrook, CA
  • NPI 1265823264

  Nursing home

  Care Compare affiliation
• Healthy Living at Home-San Diego LLC

  dba Mission Home Health of North County San Diego

  • Home Health Agency
  • San Marcos, CA
  • NPI 1396011870
  Care Compare affiliation
• Optimal Health Care Inc

  dba Archer Health, Inc.

  • Home Health Agency
  • Carlsbad, CA
  • NPI 1053741017
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation
• Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • Irvine, CA
  • NPI 1295878304
  Care Compare affiliation
• Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1801939939
  Care Compare affiliation

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1184835407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAST SECOND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-737-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S MAIN AVE",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283338",
            "telephone_number": "760-291-6700",
            "fax_number": "760-728-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Healthcare Consultants
• Integrative Myofunctional Therapy, Inc
• J Walker Dental Corporation
• Jeeirene Advanced Nursing, Inc (ChristalMind InnerJee)
• Enchanta L Jenkins, M.D.
• Cindy Jimenez
• Heather Jimenez
• Teresa Jimenez, CAMTC
• Angela Maricela Johnson, D.C.
• Dylan Keahi Johnson

• Family Medicine Physician in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.