DONALD RAFAEL HENDERSON (NPI# 1750300075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750300075 |
| Entity Type | Individual |
| Full Name | DONALD RAFAEL HENDERSON |
| Other Name | DONALD RAFAEL HENDERSON |
| Credential | MD |
| Practice Address |
8631 West 3rd Street Suite 1135e Los Angeles CA 90048-5901 |
| Mailing Address |
8631 W 3rd St Suite 1135e Los Angeles CA 90048-5901 |
| Practice Telephone | 3106598760 |
| Practice Fax Number | 3106730951 |
| Mailing Telephone | 3106598760 |
| Mailing Fax Number | 3106730951 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C36510 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C365100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720404825 | Donald Henderson | Community Health Worker | 4690 Nw 7th Avenue, Miami, FL 33142 | 2014-03-13 |
| 1821374463 | Donald Kirk Henderson | Counselor | 2027 Keene Cir, Spring Hill, TN 37174-2694 | 2011-10-27 |
| 1316180086 | Donald Lawrence Henderson | Pharmacist | 1327 Bel Air Rd, Bel Air, MD 21014-5108 | 2009-04-10 |
| 1578624573 | Donald Wade Henderson | Optometrist | 2709 S Kobe Mill Ed, Springfield, IL 62711 | 2006-12-13 |
| 1689653560 | Donald W Henderson | Internal Medicine | 3306 Lake Ariel Hwy, Honesdale, PA 18431-7685 | 2006-01-10 |
| 1851375406 | Donald L. Henderson | Optometrist | 1015 Summitt Sq, Middletown, OH 45042-3464 | 2005-12-06 |
| 1780160697 | Donald Henderson Jr. | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2018-07-13 |
| 1497820955 | Donald Taylor Henderson | Chiropractor | 785 Old Hickory Blvd, Brentwood, TN 37027-4512 | 2006-11-21 |
| 1447217898 | Donald W Henderson | Obstetrics & Gynecology | 1950 Sunnycrest Dr, Suite 2800, Fullerton, CA 92835-3638 | 2006-04-28 |
| Street Address |
8631 WEST 3RD STREET SUITE 1135E |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861766982 | Jerry Judd Pryde Jr Md PC | Physical Medicine & Rehabilitation | 8631 West 3rd Street, 915e, Los Angeles, CA 90048-6101 | 2012-03-07 |
| 1407990591 | Elizabeth Fine | Acupuncturist | 8631 West 3rd Street, Suite 915 East, Los Angeles, CA 90048 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on DONALD RAFAEL HENDERSON.
| 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.