Healthcare Provider Details

I. General information

NPI: 1740465541
Provider Name (Legal Business Name): DEXTER ANTHONY JENSEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: D. ANTHONY JENSEN M.D.

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8760 CUYAMACA ST STE 100
SANTEE CA
92071-4256
US

IV. Provider business mailing address

8760 CUYAMACA ST STE 100
SANTEE CA
92071-4256
US

V. Phone/Fax

Practice location:
  • Phone: 619-383-6868
  • Fax: 619-330-2760
Mailing address:
  • Phone: 619-383-6868
  • Fax: 619-330-2760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA67960
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: