Tami Hendriksz, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A10308 Issued in CA

Practice address

365 Tuolumne St
Vallejo, CA 94590-5700

Phone

(707) 784-2001

Fax

(707) 784-1494

NPI assigned

Apr 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: thendriksz716975@direct.ochin.org

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1104099951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CLUB DRIVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "707-638-5205",
            "fax_number": "707-638-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905700",
            "telephone_number": "707-784-2001",
            "fax_number": "707-784-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIKSZ",
        "first_name": "TAMI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Henderson
• Kelby Unique Henderson
• Kristen Henderson, OTR/L
• Mary H. Henderson, RN
• Stacey Edwina Hendricks
• Sean Patrick Hennessey, MD
• Estefania M Henriquez
• Lakeisha Henry
• Virginia Jean Hens-Piazza, P.A.
• Elizabeth Marie Hensley

• Pediatrics Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.