Organization Active NPI

Jorgen Jensen, L.a.C.

  • Acupuncturist
  • Walnut Creek, CA
National Provider Identifier
1598846453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5477 Issued in CA
Legal business name
JORGEN JENSEN, L.A.C.
Practice address
1200 Mt Diablo Blvd
202
Walnut Creek, CA 94596-4852
Phone
(925) 256-1133
Fax
(925) 256-0999
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jorgen Jensen, L.A.C.NPI 1962583815
Title
Acupuncturist
Phone
(925) 256-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC5477 CA Primary

Addresses

Primary practice location

1200 Mt Diablo Blvd
202
Walnut Creek, CA 94596-4852

Mailing address

95 Argonaut
280
Aliso Viejo, CA 92656-4133
Phone (949) 598-9999

National Provider Directory

National Provider Directory

Locations

1200 Mt Diablo Blvd
Ste 202
Walnut Creek, CA 94596
Phone (925) 256-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598846453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARGONAUT",
            "address_2": "280",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564133",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MT DIABLO BLVD",
            "address_2": "202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964852",
            "telephone_number": "925-256-1133",
            "fax_number": "925-256-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGEN JENSEN, L.A.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JORGEN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "925-256-1133",
        "authorized_official_credential": "L.A.C."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.