Individual provider Active NPI

Michael Lawrence Jensen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Grass Valley, CA
National Provider Identifier
1972603512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A7018 Issued in CA
Practice address
380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081
Phone
(530) 477-0893
Fax
(530) 477-1450
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A7018 CA Primary

Addresses

Primary practice location

380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081

Mailing address

10556 Combie Rd
#6439
Auburn, CA 95602-8908
Phone (530) 268-4664

Other identifiers 3

IdentifierTypeStateIssuer
20A7018OtherCABLUE CROSS
20A7018OtherCABLUE SHIELD
P00036911OtherCAMEDICARE RR

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
I20050628001372 CA Practitioner - Physical Medicine and Rehabilitation 1052308400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Michigan State University College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain View Rehabilitation Medical Associates IncGroup PAC ID 4880601673, 4 clinicians

Practice addresses (Care Compare)

380 Sierra College Dr
Grass Valley, CA 95945-5092
Phone (530) 477-0893

Hospital & facility affiliations

  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Merit-based Incentive Payment System (MIPS)

Final score
85.99 of 100Reported as group
Quality
82.48
Promoting interoperability
93
Improvement activities
40
Cost
76.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7018CAMDPhysical Medicine & Rehabilitation Physician
7018CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Rehabilitation Medical Associates, Inc. Physical Medicine & Rehabilitation CurrentSince May 8, 1997 Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
MJ Silva Medical Corporation PastSince Nov 24, 2024 Accepting new patients

Locations

10566 Combie Rd
Auburn, CA 95602
Phone (530) 320-6577

380 Sierra College Dr
Ste 200
Grass Valley, CA 95945
Phone (530) 477-0893

Organizations & group practices 3

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 3

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972603512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 COMBIE RD",
            "address_2": "#6439",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028908",
            "telephone_number": "530-268-4664",
            "fax_number": "530-268-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SIERRA COLLEGE DR",
            "address_2": "STE 200",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455081",
            "telephone_number": "530-477-0893",
            "fax_number": "530-477-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A7018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "20A7018",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "20A7018",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00036911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.