DR. THEODRIC BLUE HENDRIX JR. (NPI# 1528138294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528138294 |
| Entity Type | Individual |
| Full Name | DR. THEODRIC BLUE HENDRIX JR. |
| Credential | M.D. |
| Practice Address |
450 N Roxbury Dr Suite 500 Beverly Hills CA 90210-4231 |
| Practice Telephone | 3106523570 |
| Practice Fax Number | 3103880157 |
| Mailing Telephone | 3106523570 |
| Mailing Fax Number | 3103880157 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A29978 | CA | Other Service Providers |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
A29978 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PROVIDER # | 00A299780 | 01 |
| Street Address |
450 N ROXBURY DR SUITE 500 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255382826 | Deborah J Frutkin | Nurse Anesthetist, Certified Registered | 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4232 | 2006-05-16 |
| 1942759154 | Vanessa Gabrovsky Cuellar Md Inc | Clinic/Center | 450 N Roxbury Dr, 3rd Floor, Beverly Hills, CA 90210-4231 | 2016-09-28 |
| 1225586407 | Robert Paul Zimmerman Md Professional Corporation | Radiology | 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4231 | 2016-09-15 |
| 1043677339 | Mary Bevens Goodman | Nurse Practitioner | 450 N Roxbury Dr, Suite #500, Beverly Hills, CA 90210-4231 | 2016-01-19 |
| 1427446012 | California Center for Pelvic Floor Disorders Inc | Urology | 450 N Roxbury Dr, Suite 500, Beverly Hills, CA 90210-4231 | 2015-01-05 |
| 1699101097 | David J. Soomekh Dpm, A Professional Corporation | Podiatrist | 450 N Roxbury Dr, Suite 200, Beverly Hills, CA 90210-4231 | 2013-09-18 |
| 1275967648 | Nilesh Patel Do Inc | Anesthesiology | 450 N Roxbury Dr, Beverly Hills, CA 90210-4231 | 2013-08-21 |
| 1205274537 | Beverly Hills Hernia Center | Surgery | 450 N Roxbury Dr, Suite 224, Beverly Hills, CA 90210-4231 | 2013-06-09 |
| 1891131280 | Pacific Pelvic Pain Center A Medical Corporation | Anesthesiology | 450 N Roxbury Dr, Beverly Hills, CA 90210-4231 | 2013-05-13 |
| 1114265519 | Precision Ambulatory Surgery Center LLC | Clinic/Center | 450 N Roxbury Dr, Suite 250, Beverly Hills, CA 90210-4231 | 2013-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427224997 | Stephen Rabin Md Apc | Obstetrics & Gynecology | 150 N Robertson Blvd Ste 200, Beverly Hills, CA 90211-2144 | 2008-05-05 |
| 1891107553 | Kathleen Valenton, M.d., Inc. | Obstetrics & Gynecology | 421 N Rodeo Dr, Penthouse No. One, Beverly Hills, CA 90210-4500 | 2014-05-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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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.