DR. DIANE JOYCE HENDERSON (NPI# 1700989001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700989001 |
| Entity Type | Individual |
| Full Name | DR. DIANE JOYCE HENDERSON |
| Credential | M.D. |
| Practice Address |
2300 S Flower St Suite 300 Los Angeles CA 90007-2660 |
| Mailing Address |
2300 S Flower St Suite 300 Los Angeles CA 90007-2677 |
| Practice Telephone | 2137421433 |
| Practice Fax Number | 2137421496 |
| Mailing Telephone | 2137421433 |
| Mailing Fax Number | 2137421496 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
G22020 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL NUMBER | 00G220200 | 01 |
| CA | CCS PROVIDER NUMBER | CGP168503 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447481130 | Diane L Henderson | Speech-Language Pathologist | 301 Meadowbrook Heights Dr, New Windsor, NY 12553-8650 | 2009-07-29 |
| 1225020696 | Diane Henderson | Social Worker | 311 Judges Rd, 4e, Wilmington, NC 28405-3651 | 2005-08-22 |
| Street Address |
2300 S FLOWER ST SUITE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255322012 | Tower Pulmonary Associates | Internal Medicine | 2300 S Flower St, Los Angeles, CA 90007-2689 | 2005-11-02 |
| 1720094741 | Cydney Minda Fox | Audiologist | 2300 S Flower St, Los Angeles, CA 90007-2660 | 2006-07-31 |
| 1427016260 | Mri Center At Orthopedic Hospital, L.L.C. | Physiological Laboratory | 2300 S Flower St, Suite 100, Los Angeles, CA 90007-2660 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558608331 | Melissa Harada | Pediatrics | 3782 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-1703 | 2013-01-14 |
| 1578784237 | Kerry L English | Pediatrics | 5840 S. Mansfield Ave., Los Angeles, CA 90043 | 2007-05-01 |
| 1104944560 | Harvey Neil Karp | Pediatrics | 12300 Wilshire Blvd Ste 320, Los Angeles, CA 90025-1057 | 2007-03-26 |
| 1982667663 | Uc Regents | Pediatrics | 200 Ucla Medical Plaza, Suite 265, Los Angeles, CA 90095-8344 | 2006-04-11 |
| 1427580067 | Jennifer Han | Pediatrics | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2017-04-02 |
| 1700248531 | Joshua Ryan Kallman | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2016-03-22 |
| 1063898831 | Sairam Kumar | Pediatrics | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027 | 2015-08-04 |
| 1356560767 | Anshu Batra | Pediatrics | 11835 W Olympic Blvd, 1200e, Los Angeles, CA 90064-5001 | 2007-04-24 |
| 1629296181 | Mimi Kim | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-04-23 |
| 1659597193 | Audrey Griesbach | Pediatrics | 11835 W Olympic Blvd, Suite 1200e, Los Angeles, CA 90064-5001 | 2007-04-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
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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.