DR. TREVOR HOWARD HENDERSON (NPI# 1356449425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356449425 |
| Entity Type | Individual |
| Full Name | DR. TREVOR HOWARD HENDERSON |
| Credential | MD |
| Practice Address |
6699 Alvarado Rd Suite 2200 San Diego CA 92120-5244 |
| Mailing Address |
3860 Calle Fortunada Suite 200 San Diego CA 92123-4800 |
| Practice Telephone | 6192653400 |
| Practice Fax Number | 6192653407 |
| Mailing Telephone | 8586364300 |
| Mailing Fax Number | 8586364319 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A65341 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1356449425 | 05 |
| Street Address |
6699 ALVARADO RD SUITE 2200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768327 | Theodore M. Mazer | Otolaryngology | 6699 Alvarado Rd, Ste 2209, San Diego, CA 92120-5240 | 2005-05-24 |
| 1144777590 | Oleg M. Gavrilyuk, M.d., PC | Physical Medicine & Rehabilitation | 6699 Alvarado Rd, #2302, San Diego, CA 92120-5244 | 2016-09-01 |
| 1790179539 | Regents of The University of California | Family Medicine | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2015-03-18 |
| 1013356005 | Joseph Vincent Mahon | Physical Therapist | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2013-06-23 |
| 1225384308 | Ashley Deppe | Dietitian, Registered | 6699 Alvarado Rd, 2100, San Diego, CA 92120-5244 | 2012-07-26 |
| 1770850406 | Institute of Healthcare Assessment, Inc. | Specialist | 6699 Alvarado Rd, Suite 2309, San Diego, CA 92120-5238 | 2011-11-23 |
| 1386922904 | Alexandra Reed Myers | Family Medicine | 6699 Alvarado Rd, Suite 2100, San Diego, CA 92120-5244 | 2011-07-31 |
| 1114222155 | Sumana & Ananthram Reddy Md Inc | Allergy & Immunology | 6699 Alvarado Rd, Suite 2301, San Diego, CA 92120-5238 | 2011-01-24 |
| 1750615324 | Sperm Bank, Inc | Clinical Medical Laboratory | 6699 Alvarado Rd, Ste 2208, San Diego, CA 92120-5238 | 2009-09-29 |
| 1902051311 | Bernard J. Urlaub, Md, Inc | Surgery | 6699 Alvarado Rd, Ste. 2210, San Diego, CA 92120-5238 | 2008-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342748 | San Diego Uptown Pediatric Medical Group, Inc | Pediatrics | 3500 Fifth Ave Ste 101, San Diego, CA 92103-5020 | 2019-02-14 |
| 1467976340 | Cheryl Adele Burian | Pediatrics | 6572 Cascade St, San Diego, CA 92122-2425 | 2017-08-01 |
| 1043747819 | Karen Chan | Pediatrics | 3030 Childrens Way Fl 4, San Diego, CA 92123-4232 | 2017-05-11 |
| 1922462209 | Meaghan Wido | Pediatrics | Naval Medical Ctr 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2016-04-12 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1194104521 | Charles E Pohl IIi | Pediatrics | 3020 Childrens Way # Mc5065, San Diego, CA 92123-4223 | 2015-05-18 |
| 1477948479 | Thuan Diep | Pediatrics | 12036 Scripps Highlands Dr Ste 102, San Diego, CA 92131-5155 | 2015-04-06 |
| 1518352970 | Karen Ki Won Lee | Pediatrics | 3020 Childrens Way # Mc5035, San Diego, CA 92123-4223 | 2015-04-02 |
| 1730594235 | Jessie Su Bowers | Pediatrics | 12036 Scripps Highlands Dr # 102, San Diego, CA 92131-5155 | 2014-06-24 |
| 1154683043 | Daniel Micah Lichtmann | Pediatrics | 15004 Innovation Drive, San Diego, CA 92128 | 2012-06-15 |
| Find all providers in SAN DIEGO | ||||
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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.