Active NPI
Thomas Jenkins Ence, M.D.
- Specialist
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G30027
- Practice address
- 18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233 - Phone
- (818) 609-7536
- Fax
- (818) 344-9670
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G30027 | CA | Primary |
Addresses
Primary practice location
18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233
Mailing address
18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-4233
Phone (818) 609-7536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0001370 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Utah School of Medicine, 1974
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18399 Ventura Blvd
Suite 245
Tarzana, CA 91356-6403
Phone (818) 609-7536
Hospital & facility affiliations
- Providence Cedars Sinai Tarzana Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30027 | CA | MD | Mental Health Counselor |
| G30027 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Valley Pulmonary Medical Group, Inc. | Specialist | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
18399 Ventura Blvd
Ste 245
Tarzana, CA 91356
Phone (818) 609-7536
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Specialist
- Tarzana, CA
- NPI 1912928037
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497779508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD",
"address_2": "SUITE 245",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564233",
"telephone_number": "818-609-7536",
"fax_number": "818-344-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD",
"address_2": "SUITE 245",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564233",
"telephone_number": "818-609-7536",
"fax_number": "818-344-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENCE",
"first_name": "THOMAS",
"middle_name": "JENKINS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G30027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0001370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.