Individual provider Active NPI

Thomas Jenkins Ence, M.D.

  • Specialist
  • Tarzana, CA
National Provider Identifier
1497779508
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G30027 Issued in CA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0001370MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000596 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1456527191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
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 Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30027CAMDMental Health Counselor
G30027CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Pulmonary Medical Group, Inc. Specialist CurrentSince Jan 1, 1973 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.