Active NPI
Andrew Robert Jensen, M.D.
- Orthopaedic Surgery Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A133993
- Practice address
- 1225 15TH St Ste 2100
Santa Monica, CA 90404-1101 - Phone
- (310) 319-1234
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 65735 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | 1417393689 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | A133993 | CA | Primary |
Addresses
Primary practice location
1225 15TH St Ste 2100
Santa Monica, CA 90404-1101
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1250 16th St
Suite 2100A
Santa Monica, CA 90404-1249
Phone (310) 319-1234
Other practice location 2
1250 16th St
Suite 2100A
Santa Monica, CA 90404-1249
Phone (310) 319-1234
Other practice location 3
200 1st St SW
Rochester, MN 55905
Phone (507) 284-2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1417393689 | CA | MD | Orthopaedic Surgery Physician |
| A133993 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Orthopaedic Surgery | Current | Accepting new patients |
Locations
403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330
File 54206
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
1111 W Inyokern Rd
Ste B
Ridgecrest, CA 93555
Phone (760) 301-6945
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6560
1250 16th St
Ste 2100A
Santa Monica, CA 90404
Interoperability endpoints
- ajensen170641@direct.uclahealth.org
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 and National Provider Directory roles.
-
dba UCLA Orthopedic Surgery Med Group
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1528179793
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa MonicaUCLAMC and Orthopedic Hospital
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1417392689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 15TH ST STE 2100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041101",
"telephone_number": "310-319-1234"
}
],
"practiceLocations": [
{
"address_1": "1250 16th St",
"address_2": "Suite 2100A",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041249",
"country_code": "US",
"telephone_number": "310-319-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 16th St",
"address_2": "Suite 2100A",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041249",
"country_code": "US",
"telephone_number": "310-319-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "55905",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "ANDREW",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "65735",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "1417393689",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A133993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.