Candice Jensen MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

38206 Issued in AZ

Legal business name

CANDICE JENSEN MD PLLC

Practice address

2503 S Ave a
Suite 3
Yuma, AZ 85364-7173

Phone

(928) 344-3250

Fax

(928) 344-3253

NPI assigned

Aug 5, 2008

Organization subpart

No

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

Authorized official

Name

Candice Michelle Jensen, MD

Title

Sole Member

Phone

(928) 344-3250

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1578729901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S AVE A",
            "address_2": "SUITE 3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647173",
            "telephone_number": "928-344-3250",
            "fax_number": "928-344-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S AVE A",
            "address_2": "SUITE 3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647173",
            "telephone_number": "928-344-3250",
            "fax_number": "928-344-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE JENSEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "928-344-3250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "38206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z148161",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Calvillo Martinez
• Josephina Camacho Garcia, MA
• Bianca Camarillo, RBT
• Scarlet Veronica Canal-Estevez
• Lorena Cancino Gacharna, M.D.
• Laura C Canela, LMSW
• Jose Alejandro Cantabrana
• Capable Home Solutions
• Jill Caporelli, OD
• Sandra Lizeth Carbajal, M. ED

• Surgery Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.