David R Jensen Md A Professional Corporation
Primary Care
3011 Rancho Vista Blvd, Suite B-c, Palmdale
California, 93551-4821
661-273-2556 661-267-4847
David R Jensen Md A Professional Corporation is an authorized DME supplier for medicare equipments and products.
David R Jensen Md A Professional Corporation is a Primary Care in Palmdale, California. It is located at 3011 Rancho Vista Blvd, Suite B-c, Palmdale and it's customer support contact number is 661-273-2556. The authorized person of David R Jensen Md A Professional Corporation is Dr. David Richard Jensen, M.D. who is Owner of the pharmacy and his contact number is 661-273-2556. Active license number of David R Jensen Md A Professional Corporation is G044704 for Primary Care in California. David R Jensen Md A Professional Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
David R Jensen Md A Professional Corporation is definition to come...
Pharmacy Details:
David R Jensen Md A Professional Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | David R Jensen Md A Professional Corporation |
| Type: | Primary Care |
| Location: | 3011 Rancho Vista Blvd, Suite B-c, Palmdale, California, 93551-4821 |
| Phone: | 661-273-2556 |
| Fax: | 661-267-4847 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. David Richard Jensen |
| Credentials: | M.D. |
| Position: | Owner |
| Contact Number: | 661-273-2556 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1518228980 |
| NPI Enumeration Date: | 01 Jun, 2012 |
| NPI Last Update On: | 01 Jun, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David R Jensen Md A Professional Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Primary Care | G044704 | California | Primary | |
| Clinical Medical Laboratory | G044704 | California | Secondary | |
| Exclusive Provider Organization | G044704 | California | Secondary | |
| Health Maintenance Organization | G044704 | California | Secondary | |
| Preferred Provider Organization | G044704 | California | Secondary | |
| Oxygen Equipment & Supplies | G044704 | California | Secondary | |
| Mail Order Pharmacy | G044704 | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G044704 | Medicaid | California | |
Medicare Enrollment:
David R Jensen Md A Professional Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4284904004 | O20170726002924 | David R Jensen Md A Professional Corporation | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3011 Rancho Vista Blvd, Suite B-c Palmdale, California |
| Zip: | 93551-4821 |
| Phone Number: | 661-273-2556 |
| Fax Number: | 661-267-4847 |
Patients can reach David R Jensen Md A Professional Corporation at
3011 Rancho Vista Blvd, Suite B-c, Palmdale, California or can
call on customer care at 661-273-2556.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.