Active NPI
Rachel Marie Jensen, MD
- Surgery Physician
- San Diego, CA
National Provider Identifier
1366997165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A164689
- Practice address
- 4250 1St Ave
San Diego, CA 92103-2026 - Phone
- (800) 926-8273
- NPI assigned
- Aug 22, 2016
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A164689 | CA | Primary |
Addresses
Primary practice location
4250 1St Ave
San Diego, CA 92103-2026
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (925) 389-8325
Other practice location 2
9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone (800) 926-8273
Other practice location 3
4610 X St
Sacramento, CA 95817-2200
Phone (925) 389-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250806001598 | MN | Order and Referring Only - Colorectal Surgery (Proctology) | 1658889985 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1366997165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 1ST AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032026",
"telephone_number": "800-926-8273"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "925-389-8325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 Campus Point Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371300",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4610 X St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172200",
"country_code": "US",
"telephone_number": "925-389-8325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "RACHEL",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A164689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.