W.JAMES HENNEBERG, M.D. INC. (NPI# 1336389220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336389220 |
| Entity Type | Organization |
| Organization Name | W.JAMES HENNEBERG, M.D. INC. |
| Practice Address |
10 Congress St Suite 400 Pasadena CA 91105-3045 |
| Practice Telephone | 6264496223 |
| Practice Fax Number | 6264490035 |
| Mailing Telephone | 6264496223 |
| Mailing Fax Number | 6264490035 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-18 |
| Authorized Official Name | DR. WILBERT JAMES HENNEBERG (OWNER) |
| Authorized Official Telephone | 6264496223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
G45592 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10 CONGRESS ST SUITE 400 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495483 | Kathy Nguyen Walker | Obstetrics & Gynecology | 10 Congress St, Ste 202, Pasadena, CA 91105-3027 | 2005-05-27 |
| 1982114625 | Malinda Miller | Nurse Practitioner | 10 Congress St, Pasadena, CA 91105-3045 | 2017-10-09 |
| 1821449190 | Huntington Perinatal Group Inc | Obstetrics & Gynecology | 10 Congress St, Suite 511, Pasadena, CA 91105-3045 | 2016-06-28 |
| 1659749182 | Transam Hua | Physical Therapist | 10 Congress St, Suite 103, Pasadena, CA 91105-3027 | 2015-09-15 |
| 1356718530 | Huntington Orthopedics Surgical Medical Group | Clinic/Center | 10 Congress St, Suite 103, Pasadena, CA 91105-3027 | 2015-08-24 |
| 1437543501 | Wufaa Alrashid M.d., Inc | Internal Medicine | 10 Congress St, Suite 512, Pasadena, CA 91105-3045 | 2015-03-26 |
| 1114311560 | Lisa Marie Nakatani | Nurse Practitioner | 10 Congress St, Suite 405, Pasadena, CA 91105-3045 | 2015-03-24 |
| 1093121410 | Advanced Trauma Associates LLC | Surgery | 10 Congress St, Suite103, Pasadena, CA 91105-3045 | 2014-07-07 |
| 1912318676 | Vanessa Cabe | Internal Medicine | 10 Congress St, Suite 208, Pasadena, CA 91105-3045 | 2014-05-15 |
| 1245669068 | California Fertility Centers, A Medical Corporation | Clinic/Center | 10 Congress St, Suite 200, Pasadena, CA 91105-3045 | 2013-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225384811 | George A. Williamson Md Pa | Obstetrics & Gynecology | 8028 Ritchie Hwy, Suite 309, Pasadena, MD 21122-1075 | 2012-08-01 |
| 1992026470 | Liliana Kanu | Obstetrics & Gynecology | 3333 Burke Rd, Pasadena, TX 77504-1803 | 2010-06-18 |
| 1275796278 | Girlfriends Medical Group, Inc | Obstetrics & Gynecology | 301 S Fair Oaks Ave, Pasadena, CA 91105-2561 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757705 | Michelle Uaje, Md PC | Obstetrics & Gynecology | 21810 Heatheridge Dr, Yorba Linda, CA 92887-2612 | 2020-10-09 |
| 1811559560 | Ob Hospitalists of Orange County Inc | Obstetrics & Gynecology | 1310 W Stewart Dr Ste 307, Orange, CA 92868-3838 | 2019-07-02 |
| 1912563735 | Sarah Lavonne Miller | Obstetrics & Gynecology | 144 N Kenmore Ave Apt 1, Los Angeles, CA 90004-6274 | 2019-05-16 |
| 1174007421 | Amal A Malek | Obstetrics & Gynecology | 47 Seabrook Cv, Newport Beach, CA 92660-6232 | 2018-09-22 |
| 1093223901 | Daniel M. Villarosa, M.d., A Professional Corporation | Obstetrics & Gynecology | 18064 Wika Rd Ste 102, Apple Valley, CA 92307-2182 | 2018-01-12 |
| 1316455363 | Yasharpour Medical Doctor, Inc., A Professional Medical Corporation | Obstetrics & Gynecology | 7400 Van Nuys Blvd Ste 120, Van Nuys, CA 91405-1972 | 2018-01-11 |
| 1821503863 | Healthcare Solutions Usa, Inc. | Obstetrics & Gynecology | 16253 Laguna Canyon Rd Ste 100, Irvine, CA 92618-3610 | 2017-12-13 |
| 1588176572 | Haiping Wang, M.d. | Obstetrics & Gynecology | 123 N Garfield Ave Ste D, Alhambra, CA 91801-3564 | 2017-10-30 |
| 1467977637 | Richard Norman Christie | Obstetrics & Gynecology | 501 Washington St Ste 725, San Diego, CA 92103-2241 | 2017-08-09 |
| 1386170355 | Andrew Peter Lin Md A Professional Medical Corporation | Obstetrics & Gynecology | 30 Via Milpitas, Carmel Valley, CA 93924-9630 | 2017-05-11 |
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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.