LOGAN JENSEN


Address: 17782 Cowan Ste A, Irvine, CA 92614-6041
Phone: 9497227118

LOGAN JENSEN (NPI# 1568875433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568875433
Entity Type Individual
Full Name LOGAN JENSEN
Practice Address 17782 Cowan Ste A
Irvine
CA 92614-6041
Mailing Address 1048 Irvine Ave # 1056
Newport Beach
CA 92660-4602
Practice Telephone 9497227118
Mailing Telephone 9499552101
Enumeration Date 2014-06-08
Last Update Date 2019-07-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 51530 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17782 COWAN STE A
City IRVINE
State CA
Zip Code 92614-6041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740485101 Farhad Ghasemi Nikoo Registered Nurse 17782 Cowan Ste A, Irvine, CA 92614-6041 2007-06-18
1043825797 Robert Anthony Cadena Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-09-10
1790396794 Heidi Aguilar Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-08-12
1497380356 Helen Kim Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-03-10
1558995084 Neo Atienza Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-02-24
1972134641 Emily Louise Lippincott Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2020-01-30
1427692375 Jada Alston Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2019-11-04
1366098279 Nili Askari Marriage & Family Therapist 17782 Cowan Ste A, Irvine, CA 92614-6041 2019-08-15
1992363535 Maria D Acevedo Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2019-05-29
1548735202 Progeny Psychiatric Clinic A Medical Corporation Family Medicine 17782 Cowan Ste A, Irvine, CA 92614-6041 2018-10-09
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NPI Name Taxonomy Address Enumeration
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1770085235 Heather M. Ayala Dietitian, Registered 17985 Sky Park Circle Suite A, Irvine, CA 92614 2018-03-01
1598266033 Camille Plumbar Chiropractor 17811 Skypark Circle, Suite E, Irvine, CA 92614 2018-02-21
1952812448 Mary M Ahmadian Nurse Practitioner Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 2017-10-24
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407453541 Stephen Benjamin Perez Physician Assistant 951 Somerville, Irvine, CA 92620-0264 2020-10-01
1922629831 Lydia Yeeyen Lau Physician Assistant 14191 Saarinen Ct, Irvine, CA 92606-1853 2020-05-01
1053947184 Shelby Harrison Physician Assistant 710 Oak Gln, Irvine, CA 92618-4718 2020-03-20
1174156194 Chloe Tyau Physician Assistant 25 Pacifica Apt 5329, Irvine, CA 92618-3357 2020-02-18
1285285080 Noura Aman Physician Assistant 12429 Spectrum, Irvine, CA 92618-3405 2019-09-23
1952810632 Andrew Phan Physician Assistant 12 Villanova, Irvine, CA 92606-8929 2017-09-25
1194252395 Sadie Mimi Kim Physician Assistant 263 Pineview, Irvine, CA 92620-1929 2017-05-18
1275084089 Rosmarie Ahsan Physician Assistant 19191 Norwood Ter, Irvine, CA 92603-3511 2016-10-17
1730553173 Darlene Vuong Physician Assistant 17 Skycrest, Irvine, CA 92603 2015-11-23
1407238942 Jeanelle Lian Brick Physician Assistant 10 Whitecloud, Irvine, CA 92614-5447 2015-06-21
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Competitor

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City IRVINE
Zip Code 92614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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