KYLE HENDERSON (NPI# 1134547599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134547599 |
| Entity Type | Individual |
| Full Name | KYLE HENDERSON |
| Practice Address |
200 Porter Dr Suite 215 San Ramon CA 94583-1587 |
| Practice Telephone | 9253622111 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 51492 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120695 | Kyle Henderson | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-10-07 |
| 1780069609 | Kyle Henderson | Optometrist | 501 E 15th St, Suite 101, Edmond, OK 73013-5043 | 2015-07-21 |
| 1952782690 | Kyle Henderson | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2015-06-17 |
| 1295776821 | Kyle Henderson | Pediatrics | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2006-06-08 |
| Street Address |
200 PORTER DR SUITE 215 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265349 | Robin Marcellus Dennings | Anesthesiology | 200 Porter Dr, Suite 100, San Ramon, CA 94583-1587 | 2005-09-19 |
| 1285005074 | Claudine Cho | Nurse Practitioner | 200 Porter Dr, Suite 300, San Ramon, CA 94583 | 2015-10-19 |
| 1831596584 | Kerri Lewis | Physical Therapist | 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 | 2014-11-24 |
| 1518371574 | Brianne M Spencer | Physical Therapist | 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 | 2014-06-18 |
| 1346592227 | Robin F Mercer | Physician Assistant | 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 | 2012-10-03 |
| 1477812998 | Arthur Hung-chun Chu | Physical Therapist | 200 Porter Dr, #101, San Ramon, CA 94583-1587 | 2012-05-04 |
| 1588999734 | Clair Steven Weenig | Anesthesiology | 200 Porter Dr, Suite 100, San Ramon, CA 94583-1587 | 2009-10-06 |
| 1316117682 | Laura Heather Anaya | Physician Assistant | 200 Porter Dr, Suite 200, San Ramon, CA 94583-1587 | 2008-03-03 |
| 1174792261 | Empire Anesthesia Inc | Pain Medicine | 200 Porter Dr, Suite 100, San Ramon, CA 94583-1587 | 2008-02-22 |
| 1922143312 | Allyson R Lachman | Occupational Therapist | 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235376 | Elizabeth Mckenzie Kipe | Physician Assistant | 100 Park Pl Ste 200, San Ramon, CA 94583-4416 | 2020-08-12 |
| 1144728502 | Lily Liu | Physician Assistant | 9835 Broadmoor Dr, San Ramon, CA 94583-3134 | 2018-01-31 |
| 1174060115 | Krystal Sun | Physician Assistant | 101 Park Pl Ste 200, San Ramon, CA 94583-1761 | 2017-01-29 |
| 1629481262 | Lyndsey Desoto | Physician Assistant | 122 Shadowhill Cir, San Ramon, CA 94583-5353 | 2014-06-10 |
| 1356581953 | Monica Madsen | Physician Assistant | 2000 Crow Canyon Pl Ste 260, San Ramon, CA 94583-1367 | 2009-02-23 |
| 1790961829 | Jana Kay Neuenschwander | Physician Assistant | 5601 Norris Canyon Rd Ste 140, San Ramon, CA 94583-5407 | 2008-01-18 |
| 1922187491 | Shama J. Anwar | Physician Assistant | 6001 Bollinger Canyon Rd., San Ramon, CA 94583 | 2006-11-03 |
| 1689600470 | Michelle A Henrick | Physician Assistant | 100 Park Pl Ste 120, San Ramon, CA 94583 | 2006-06-23 |
| 1376019869 | Kelvin Chang | Physician Assistant | 460 Market Pl, San Ramon, CA 94583-4745 | 2018-10-23 |
| 1437644572 | Amreen Gill | Physician Assistant | 2300 Camino Ramon, San Ramon, CA 94583-1354 | 2018-06-29 |
| Find all providers in SAN RAMON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.