Jacob Jensen (NPI# 1215306683, PAC ID# 8224303789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1215306683 |
| PAC ID by PECOS | 8224303789 |
| Professional Enrollment ID | I20171009003379 |
| Full Name | Jacob Jensen |
| Organization Legal Name | GABRIEL J HALPERIN DPM INC |
| Address |
3616 E 1st St Los Angeles CA 90063-2326 |
| Phone Number | 3232646157 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2163411075 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050350 | BEVERLY HOSPITAL |
| 050103 | WHITE MEMORIAL MEDICAL CENTER |
| 050104 | SAINT FRANCIS MEDICAL CENTER |
| 050763 | SILVER LAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3616 E 1st St, Los Angeles, CA 90063-2326 | 3232646157 | GABRIEL J HALPERIN DPM INC |
| Organization Legal Name | GABRIEL J HALPERIN DPM INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Ananian | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Carolyn H Wong | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Stacey Valdez | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Gabriel J Halperin | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Peter S Wadhams | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Street Address |
3616 E 1ST ST |
| City | LOS ANGELES |
| State | CA |
| Zip | 90063-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Ananian | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Carolyn H Wong | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Stacey Valdez | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Gabriel J Halperin | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Peter S Wadhams | Podiatry | Gabriel J Halperin Dpm Inc | 3616 E 1st St, Los Angeles, CA 90063-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kourosh Daneshgar | Obstetrics/gynecology | Century Women Medical Group, Inc. | 3710 E Cesar E Chavez Ave, Los Angeles, CA 90063-2219 |
| Pauline J Jose | Family Medicine | 3710 E Cesar Chavez Ave, Los Angeles, CA 90063-2219 | |
| Kimberly Elyse Conley | Internal Medicine | California Wound Healing Medical Group Inc. | 3612 /2 E 1st St, Los Angeles, CA 90063-2326 |
| Frank L Jimenez | Physician Assistant | California Wound Healing Medical Group Inc. | 3612 /2 E 1st St, Los Angeles, CA 90063-2326 |
| Mariam Clark | Nurse Practitioner | California Wound Healing Medical Group Inc. | 3612 /2 E 1st St, Los Angeles, CA 90063-2326 |
| Luon W Peng | Nephrology | 3731 E 3rd St, Los Angeles, CA 90063-2401 | |
| Edward A Alexander | Internal Medicine | 3000 E 1st St, Los Angeles, CA 90063-2807 | |
| Herbert Marshak | Family Practice | 3484 E 1st St, Los Angeles, CA 90063-2946 | |
| Glenn Marshak | Internal Medicine | Innovative Medical Solutions | 3484 E 1st St, Los Angeles, CA 90063-2946 |
| City | LOS ANGELES |
| Zip Code | 90063 |
| Specialty | PODIATRY |
| City + Specialty | LOS ANGELES + PODIATRY |
Please comment or provide details below to improve the information on Jacob 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.