Individual provider Active NPI

Richard L. Henderson, MD

  • Family Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1063589943
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A46600 Issued in CA
Practice address
555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752
Phone
(760) 561-7373
Fax
(760) 327-5140
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A46600 CA Primary

Addresses

Primary practice location

555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752

Mailing address

555 E Tachevah Dr Ste 2E107
Palm Springs, CA 92262-5752
Phone (760) 561-7373

Other practice location 1

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-3910

Other practice location 2

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000824 CA Practitioner - Family Practice 3779654777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A46600CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Desert Physicians Medical Group Health Family Medicine CurrentSince Nov 19, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Jan 14, 2018 Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Jan 14, 2018 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients

Locations

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

555 E Tachevah Dr
Ste 2E204
Palm Springs, CA 92262
Phone (760) 561-7327

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

555 E Tachevah Dr
Ste 1E204
Palm Springs, CA 92262
Phone (760) 325-4100

555 E Tachevah Dr
Ste 3W101
Palm Springs, CA 92262
Phone (760) 327-1557

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: richard.henderson.1@31502.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063589943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625752",
            "telephone_number": "760-561-7373",
            "fax_number": "760-327-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 2E107",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625752",
            "telephone_number": "760-561-7373",
            "fax_number": "760-327-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9961 Sierra Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923356720",
            "country_code": "US",
            "telephone_number": "909-427-3910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9961 Sierra Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923356720",
            "country_code": "US",
            "telephone_number": "909-427-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A46600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.