Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457439291 Individual Practitioner Female Practitioner

Dr. Kellie Kute Jensen , MD

Pediatrics • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kellie Kute Jensen, MD is a registered healthcare professional specializing in Pediatrics in Vallejo, CA. Practice services are available at 975 SERENO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

975 Sereno Dr

Vallejo, CA 945892441

Telephone 7076513347
Associated Practice Facility / Clinic
🏢 Kaiser Permanente Vallejo Facility NPI 1801983150

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Vallejo, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A79996

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A799960 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Roberta Wang , MD

Physical Medicine & Rehabilitation

NPI 1003013715

Doctor of Medicine (M.D.)

Rihong Zhou

Pharmacist

NPI 1003033929
Evan Hirschbein

Student in an Organized Health Care Education/Training Program

NPI 1003270646
Jean Broadnax , LCSW

Social Worker - Clinical

NPI 1003299801

Licensed Clinical Social Worker

Sean Nisam

Student in an Organized Health Care Education/Training Program

NPI 1003341777
Dr. Li Tsang , MD

Anesthesiology

NPI 1003994823

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address January 10, 2022

Registered at 1800 HARRISON ST FL 7, OAKLAND, CA 946123466 (Tel: 5106256262)

👤
Provider Name / Credentials Updated May 02, 2018

Recorded as KELLIE KUTE JENSEN, MD

NPI Profile Active July 15, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2007

Registered at 975 SERENO DR, VALLEJO, CA 945892441 (Tel: 7076511000)

📍
Updated Business Mailing Address July 15, 2007

Registered at 1800 HARRISON ST FL 7, OAKLAND, CA 946123429 (Tel: 5106256262)

👤
Provider Name / Credentials Updated July 15, 2007

Recorded as KELLIE KUTE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2007

Pediatrics (License #A79996 in CA)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457439291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: January 10, 2022
Sole Proprietor: No

Mailing Address

1800 Harrison St Fl 7

Oakland, CA 946123466

Phone: 5106256262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.