Individual provider Active NPI

Jennifer Marie Hensley, PA-C

  • Physician Assistant
  • Glendale, CA
National Provider Identifier
1336606367
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56450 Issued in CA
Practice address
105 E Glenoaks Blvd
Glendale, CA 91207-2007
Phone
(888) 227-3312
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56450 CA Primary

Addresses

Primary practice location

105 E Glenoaks Blvd
Glendale, CA 91207-2007

Mailing address

File 50670
Los Angeles, CA 90074-0670
Phone (888) 227-3312

Other practice location 1

5504 Whittier Blvd
Commerce, CA 90022-4104
Phone (323) 725-0167

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhensley1656656@oc.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200511002567 CA Practitioner - Physician Assistant 1254762024 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56450CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven and Michael Hochman Medical Corporation Inc. CurrentSince Dec 23, 2025 Accepting new patients
Providence Facey Medical Foundation CurrentSince Nov 27, 2023 Accepting new patients
Providence Facey Medical Foundation CurrentSince Nov 27, 2023 Accepting new patients
Starfield Primary Care PastSince Sep 3, 2025 Accepting new patients

Locations

105 E Glenoaks Blvd
Glendale, CA 91207
Phone (818) 745-1173

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

2800 S Ventura Rd
Oxnard, CA 93033
Phone (805) 984-0144

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

13743 Ventura Blvd
Ste 220
Sherman Oaks, CA 91423
Phone (213) 783-0439

8055 Foothill Blvd
Ste A
Sunland, CA 91040
Phone (213) 783-0439

32144 Agoura Rd
Westlake Vlg, CA 91361
Phone (805) 557-7180

Interoperability endpoints

  • Direct secure messaging: jhensley1656656@oc.providencedirect.org

Organizations & group practices 5

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1336606367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 50670",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740670",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072007",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5504 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900224104",
            "country_code": "US",
            "telephone_number": "323-725-0167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhensley1656656@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "105 E Glenoaks Blvd",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912072007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.