| Gary L Jensen, MD | |
|
255 E Bonita Ave, Pomona, CA 91767-1923 | |
| (909) 450-0393 | |
| (909) 450-0394 |
| Full Name | Gary L Jensen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 43 Years |
| Location | 255 E Bonita Ave, Pomona, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558304139 | NPI | - | NPPES |
| 00A436130 | Medicaid | CA | |
| 00A436130 | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A43613 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Casa Colina Hospital | Pomona, CA | Hospital |
| Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Claremont Imaging Associates A Medical Corporation | 9133170442 | 4 |
| Entity Name | San Antonio Radiological Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396947 PECOS PAC ID: 8325035942 Enrollment ID: O20040427000649 |
| Entity Name | Claremont Imaging Associates A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619068921 PECOS PAC ID: 9133170442 Enrollment ID: O20050203000703 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Jensen, MD Po Box 480033, Los Angeles, CA 90048-1033 Ph: (909) 450-0393 | Gary L Jensen, MD 255 E Bonita Ave, Pomona, CA 91767-1923 Ph: (909) 450-0393 |
Hrayr A Kabakian, MD Radiology Medicare: Medicare Enrolled Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9500 | |
Dr. Monish Jatin Laxpati, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2475 N Garey Ave, Pomona, CA 91767 Phone: 909-622-3166 Fax: 909-622-8046 | |
Dr. Johnson Benjamin Lightfoote, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9535 Fax: 909-630-7394 | |
Dr. James Philip Warren, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1902 Royalty Dr, Pomona, CA 91767 Phone: 714-573-7647 | |
Christina Tsao Benedict, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9535 Fax: 909-397-0194 | |
Alexander J Chien, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9500 | |
Dr. Bernie Robert Goler, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1902 Royalty Dr, Suite 220, Pomona, CA 91767 Phone: 909-620-8180 Fax: 909-469-6741 |