Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob R. Jensen, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1215306683

Jacob R. Jensen, DPM is a Podiatry in Anaheim, California. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6200 E Canyon Rim Rd Ste 111E
Anaheim, CA 92807-4313
Phone: (714) 974-3338
Fax: (714) 974-7683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5386 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence EL6752 (CA)

Record details

NPI number1215306683
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 16, 2015
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address6200 E Canyon Rim Rd Ste 111e, Anaheim, CA 92807-4313

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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