Active NPI
Jensen Houston
- Physician Assistant
- Santa Ana, CA
National Provider Identifier
1770138950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 505 N Tustin Ave Ste 190
Santa Ana, CA 92705-3777 - Phone
- (714) 784-5433
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
505 N Tustin Ave Ste 190
Santa Ana, CA 92705-3777
Mailing address
13612 Crewe St
Van Nuys, CA 91405-4235
Phone (818) 212-0918
Other practice location 1
13612 Crewe St
Van Nuys, CA 91405-4235
Phone (818) 212-0918
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57275 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac and CS | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Whittier, CA
- NPI 1851191019
-
- Primary Care Clinic/Center
- Corona, CA
- NPI 1508507229
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Family Medicine Physician
- Glendale, CA
- NPI 1124886437
-
- Clinical Social Worker
- Burbank, CA
- NPI 1659794246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1770138950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13612 CREWE ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054235",
"telephone_number": "818-212-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N TUSTIN AVE STE 190",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053777",
"telephone_number": "714-784-5433"
}
],
"practiceLocations": [
{
"address_1": "13612 Crewe St",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914054235",
"country_code": "US",
"telephone_number": "818-212-0918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSTON",
"first_name": "JENSEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.