Jeffrey Hensley (NPI# 1548678881, PAC ID# 7719311919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548678881 |
| PAC ID by PECOS | 7719311919 |
| Professional Enrollment ID | I20191220002263 |
| Full Name | Jeffrey Hensley |
| Organization Legal Name | REVIVE MEDICAL OF SAN DIEGO |
| Address |
2940 W Florida Ave Suite B Hemet CA 92545-3655 |
| Phone Number | 9519257609 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092056218 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10 Governors Ln, Chico, CA 95926-1991 | 8588001006 | REVIVE MEDICAL OF SAN DIEGO |
| 2940 W Florida Ave, Suite B, Hemet, CA 92545-3655 | 9519257609 | REVIVE MEDICAL OF SAN DIEGO |
| Organization Legal Name | REVIVE MEDICAL OF SAN DIEGO |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor N Dsouza | Physical Therapy | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
| Robert Alan Ehrnman | Chiropractic | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
| Michael Woo-ming | Family Medicine | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
| Nicole Manning Bergesch | Physical Therapy | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
| Hyman D Sacks | Family Medicine | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
| Street Address |
2940 W FLORIDA AVE SUITE B |
| City | HEMET |
| State | CA |
| Zip | 92545-3655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Lindenfeld | Clinical Social Worker | Wellqor Psychological Services of California, PC | 1001 N Lyon Ave, Hemet, CA 92545-1753 |
| Alicia Estrada Zuniga | Clinical Social Worker | Psychological Solutions for Seniors PC | 1001 N Lyon Ave, Brookdale Sunwest, Hemet, CA 92545-1753 |
| Graham A Scott | Family Medicine | Southern California Permanente Medical Group | 3527 W Florida Ave, Hemet, CA 92545-3564 |
| Pamela Rosario | Nurse Practitioner | Southern California Permanente Medical Group | 3527 W Florida Ave, Hemet, CA 92545-3564 |
| Rosette J Adegbe | Nurse Practitioner | Southern California Permanente Medical Group | 3527 W Florida Ave, Hemet, CA 92545-3564 |
| William D Cullins | Chiropractic | 2940 W Florida Ave B, Hemet, CA 92545-3655 | |
| Kamran A Qureshi | Internal Medicine | 2589 W Florida Ave, Hemet, CA 92545-4615 | |
| Wasef Y Atiya | General Practice | 2573 W Florida Ave, Hemet, CA 92545-4615 | |
| Peter Jacob Carrillo | Physical Therapy | 2595 W Florida Ave, Hemet, CA 92545-4615 | |
| Heather L Hicks | Family Medicine | 4020 W Florida Ave, Hemet, CA 92545-5279 | |
| Find all physicians in zip 92545 | |||
| City | HEMET |
| Zip Code | 92545 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HEMET + NURSE PRACTITIONER |
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| 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.