Tyler Don Hensel, M.D.
Individual provider Active NPI Family Medicine Physician · Soledad, CA
NPI 1902866072 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1902866072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A94162 (CA)
- Practice address
- 600 Main St
Soledad, CA 93960-2533 - Phone
- (831) 678-2665
- Fax
- (213) 482-2999
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
5615 Scotts Valley Dr
Scotts Valley, CA 95066-3492
Phone (831) 430-2700
75 Neilson St
Watsonville, CA 95076-2468
Phone (831) 724-4741
Hospital & facility affiliations
- Watsonville Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120525000276 | CA | Practitioner - Family Practice | 7012170277 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of California, Inc | Family Medicine | Current |
Accepting new patients |
| Permanente Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Monterey County Inc. | Past | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Interoperability endpoints
- henselt@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A94162 | CA | Yes |
Addresses
Primary practice location
600 Main St
Soledad, CA 93960-2533
Mailing address
13548 Aspen Grove Rd
Eastvale, CA 92880-8893
Phone (310) 993-6818
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Soledad, CA
- Samantha Hamed
- David Hamlin
- Karina Demi Harris
- Adrianna Hawkins
- Rio H Heigh
- Crystal Maria Hernandez
- Judith Picazo Herrera
- James Charles Hill
- Sindela Hipolito
- Hoogendyk and Trebino Inc
All providers in Soledad, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.