DAVID K JENNE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1881742799

DAVID K JENNE (DPM) is a healthcare provider. based in Riverside, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E3917 (CA). The NPI Number for DAVID K JENNE (DPM) is 1881742799

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DAVID K JENNE (DPM)
NPI
1881742799
Phone
(909) 353-2000
Address
10800 MAGNOLIA AVE
Enumeration Date
8 January 2007
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8669847483
Graduation Year
1992 (34 years ago)
PAC ID
6204887417
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050204000505
Address ID
CA922014827IN46900STXX302

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,833 PODIATRY in CA

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Provider Addresses for DAVID K JENNE (DPM)

  • Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States

    RIVERSIDE, CA 925053043

    Phone: (909) 353-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050204000505IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Is there an official ID for DAVID K JENNE (DPM) in U.S. healthcare records?
The official identifier for DAVID K JENNE (DPM) is NPI 1881742799.
Is there an active status for DAVID K JENNE (DPM)?
For scheduling context, DAVID K JENNE (DPM) is shown as active in the registry.
How would a patient describe DAVID K JENNE (DPM)'s focus?
For DAVID K JENNE (DPM), the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in California is DAVID K JENNE (DPM) registered?
Use Riverside, California as the headline location for DAVID K JENNE (DPM) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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