Lilian Jensen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 15126 Issued in CA

Practice address

191 S Buena Vista St
Suite 150
Burbank, CA 91505-4504

Phone

(818) 295-5920

Fax

(818) 295-6965

NPI assigned

Feb 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lakeside Medical Associates, a Medical Group, Inc.

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)
• Lakeside Medical Associates, a Medical Group, Inc.

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1932129434

  Physician Assistant

  NPD (past)
• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1992771232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 FLOWER ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013000",
            "telephone_number": "818-637-2000",
            "fax_number": "818-242-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST",
            "address_2": "SUITE 150",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-295-5920",
            "fax_number": "818-295-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "LILIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "95-4427817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JCL Logistics Group LLC
• Jennifer Tapia Marriage and Family Therapist a Professional Corporation
• Jennifer Tapia Marriage and Family Therapist a Professional Corporation
• Martez Jennings
• Jacqueline Jensen, ACUPUNCTURIST
• Muffit L Jensen, DC
• Soo Hyun Jeong
• Jeremy Andia Optometry, Professional Corporation
• Jerry L Lanier DDS, Inc
• Mikaela Jerue

• Physician Assistant in Burbank, CA
• Providers in Burbank, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.