Active NPI
Jens Thiele, M.D.
- Dermatology Physician
- Oceanside, CA
National Provider Identifier
1659562650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A103862
- Practice address
- 3629 Vista Way
Oceanside, CA 92056-4522 - Phone
- (760) 757-7646
- NPI assigned
- Aug 5, 2007
- Last updated
- Jan 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A103862 | CA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A103862 | CA |
Addresses
Primary practice location
3629 Vista Way
Oceanside, CA 92056-4522
Mailing address
3629 Vista Way
Oceanside, CA 92056-4522
Phone (760) 757-7546
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
- Dermatology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25495 Medical Ctr Dr
Suite 200
Murrieta, CA 92562-4903
Phone (951) 304-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.18 of 100
- Quality
- 86.36
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 686 |
| Removal of tissue | 65 |
| Removal of skin lesions | 1884 |
| Removal of skin cancer | 1190 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 489 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103862 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists, Inc | Dermatology | Past | Accepting new patients |
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients | |
| Dermatology Specialists Inc | Dermatology | Past | Accepting new patients |
| Skin Diagnostics Group, PC | Past | Accepting new patients | |
| Affinity Hospital LLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Oceanside, CA
- NPI 1881631711
-
- Dermatology Physician
- San Marcos, CA
- NPI 1578763876
-
- Dermatology Physician
- Murrieta, CA
- NPI 1144410945
-
dba Southwest Healthcare - Inland Valley Hospital
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
-
- Clinical Medical Laboratory
- Homewood, AL
- NPI 1689922668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1659562650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-757-7546",
"fax_number": "760-728-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3629 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-757-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELE",
"first_name": "JENS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A103862",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A103862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
- The Integrity Company Ancillary Care Solutions Inc (The Integrity Company)
- The Integrity Company Language Solutions Inc
- The Mother's Room LLC
- The Pharmary RX LLC (Coast Compounding Pharmacy)
- The Steven a. Cohen Military Family Clinic at VVSD, Oceanside
- Ashleigh Thomas
- Cristy Thomas
- Jordan Thomas, D.M.D.
- Joseph Thomas
- Karrina Thomas, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.