Andrew Willaim Jensen

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1400 Camino de la Reina Ste 110
San Diego, CA 92108-1512

Phone

(619) 299-6060

Fax

(619) 299-5379

NPI assigned

Sep 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Susan'S Hair Unlimited ,Inc

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1043744253
  NPD (past) Authorized official

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1578081022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 CLAIREMONT DR APT 38",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176768",
            "telephone_number": "619-261-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CAMINO DE LA REINA STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081512",
            "telephone_number": "619-299-6060",
            "fax_number": "619-299-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ANDREW",
        "middle_name": "WILLAIM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Alise Jennings, M.S.
• Valerie C. Jennison, LMFT
• Jenny Seradilla
• Jennyco, Inc.
• Trish Jensen-Maier, NP
• Anna Lee Jensen
• Austin Blaise Jensen
• Brent V Jensen
• Cailyn Jensen
• Collin Jensen

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.