Individual provider Active NPI

Else Marie Jensen, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
National Provider Identifier
1790754885
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G68533 Issued in CA
Practice address
1510 4TH St
Suite 1
Berkeley, CA 94710-1717
Phone
(510) 525-8980
Fax
(510) 525-8982
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G68533 CA Primary

Addresses

Primary practice location

1510 4TH St
Suite 1
Berkeley, CA 94710-1717

Mailing address

2959 Applewood CT
Napa, CA 94558-4302
Phone (707) 258-1774

Other identifiers 1

IdentifierTypeStateIssuer
00G685330MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000387 CA Practitioner - Internal Medicine 4981787223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Suite 201
Napa, CA 94558-2904
Phone (707) 251-1867

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health, Napa Valley Home health agency, Napa, CA, CCN 057659
  • Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68533CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Nov 6, 2017 Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine CurrentSince Aug 23, 2012 Accepting new patients
Providence Medical Foundation CurrentSince Feb 17, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Feb 17, 2020 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1652 Mono Ave
Ashland, CA 94578
Phone (510) 357-5351

1510 4th St
Ste 1
Berkeley, CA 94710
Phone (510) 525-8980

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1100 Trancas St
Ste 201
Napa, CA 94558
Phone (707) 251-1867

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1411 E 31st St
Rm 3
Oakland, CA 94602

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

3325 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 576-4000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

Interoperability endpoints

  • Direct secure messaging: ejensen1657852@oc.providencedirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1790754885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 APPLEWOOD CT",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584302",
            "telephone_number": "707-258-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 4TH ST",
            "address_2": "SUITE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101717",
            "telephone_number": "510-525-8980",
            "fax_number": "510-525-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ELSE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G68533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G685330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.