Logan Jensen (NPI# 1568875433, PAC ID# 0042430274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568875433 |
| PAC ID by PECOS | 0042430274 |
| Professional Enrollment ID | I20141013002390 |
| Full Name | Logan Jensen |
| Organization Legal Name | JASON KELLOGG MD INC |
| Address |
1501 E 16th St Newport Beach CA 92663-5924 |
| Phone Number | 7143666371 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9032266127 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1501 E 16th St, Newport Beach, CA 92663-5924 | 7143666371 | JASON KELLOGG MD INC |
| Organization Legal Name | JASON KELLOGG MD INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Radakovic | Nurse Practitioner | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
| Randall G Turner | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
| Michael Frazier | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
| Dylan Thomas Guiney | Nurse Practitioner | Jason Kellogg Md Inc | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
| Sanjai Thankachen | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
| Natalya Godes | Clinical Psychologist | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
| Dana Lynn Lambrose | Nurse Practitioner | Jason Kellogg Md Inc | 275 Victoria St, Costa Mesa, CA 92627-1906 |
| Jessica E Connor | Clinical Social Worker | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
| Street Address |
1501 E 16TH ST |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92663-5924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pavaninder S Mann | Psychologist, Clinical | 1501 E 16th St, Newport Beach, CA 92663-5924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Freedman | Urology | 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-0000 | |
| Sharon J Lucas | Clinical Social Worker | 34 Seabird Ct, Newport Beach, CA 92663-2109 | |
| Monica J Lucas | Physical Therapy | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 | |
| Bonnie Michelle Austin | Physical Therapy | Superior Wound Care and Physical Therapy Inc | 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700 |
| Jean O Galloway | Physical Therapy | Superior Rehabilitation Center, Inc | 1441 Superior Ave, Newport Beach, CA 92663-2700 |
| Michael W Summerlin | Psychologist, Clinical | 1441 Superior Ave, Suite F, Newport Beach, CA 92663-2704 | |
| Michael John Thorpe | Physical Therapy | Pegasus Physical Therapy Solutions, Inc. | 1419 Superior Ave, Suite 4, Newport Beach, CA 92663-2723 |
| Rafael A Penunuri | Family Medicine | 1419 Superior Ave, Suite 1, Newport Beach, CA 92663-2723 | |
| Jill G Byers | General Surgery | 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2740 | |
| Robert I Hewlett | Pulmonary Disease | Newport Pulmonary Associates | 320 Superior Ave, Suite 200, Newport Beach, CA 92663-2741 |
| Find all physicians in zip 92663 | |||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWPORT BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Logan Jensen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.