Active NPI
Richard Clyde Jensen, MD
- Student in an Organized Health Care Education/Training Program
- Sacramento, CA
National Provider Identifier
1801531272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- A201054
- Practice address
- 4150 V St Ste 3400
Sacramento, CA 95817-1460 - Phone
- (916) 734-4597
- Fax
- (916) 734-7924
- NPI assigned
- Apr 30, 2022
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 201054 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | A201054 | CA | Primary |
Addresses
Primary practice location
4150 V St Ste 3400
Sacramento, CA 95817-1460
Mailing address
4150 V St Ste 3400
Sacramento, CA 95817-1460
Phone (916) 734-4597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220512001100 | NC | Order and Referring Only - Internal Medicine | 6709263783 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A201054 | CA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- rjensen871243@direct.unc.nchie.net
- rjensen413553@directhisp.wakemed.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1801531272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 V ST STE 3400",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-4597",
"fax_number": "916-734-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V ST STE 3400",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-4597",
"fax_number": "916-734-7924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "RICHARD",
"middle_name": "CLYDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-30",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "201054",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "A201054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.