Debra G Tennen, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G72013 Issued in CA

Practice address

29525 Canwood St
Ste 210
Agoura Hills, CA 91301-4231

Phone

(818) 707-4277

Fax

(818) 707-4291

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Ophthalmology

Education

New York Medical College, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Jonathan M. Davidorf, M.D. Inc.Group PAC ID 7719063825, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.23 of 100Reported as group

Quality

93.19

Improvement activities

40

Cost

73.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 5)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Jonathan M. Davidorf, M.D. Inc.

  • Ophthalmology Physician
  • West Hills, CA
  • NPI 1396913695
  Medicare reassignment Care Compare group NPD
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Kpi Inc

  • Pharmacy
  • Agoura Hills, CA
  • NPI 1811040132
  NPD (past)
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1366418865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "STE 210",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014233",
            "telephone_number": "818-707-4277",
            "fax_number": "818-707-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD ST",
            "address_2": "STE 210",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014231",
            "telephone_number": "818-707-4277",
            "fax_number": "818-707-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNEN",
        "first_name": "DEBRA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G72013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G720130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laya M. Tamar, M.S.W
• Xuanling Tang, LAC
• Tao ABA
• Emily Tejeda, MMS, PA-C
• Trisha Telford, RN, NP
• The High Road Program
• Therapeutic Comprehensive Services
• Therapy Based Psychiatry PC
• Lucille Charmaine Thomas, M.D.
• Thrifty Payless Inc

• Ophthalmology Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.