Active NPI
Lauren Henderson
- Rehabilitation Practitioner
- San Francisco, CA
National Provider Identifier
1124561535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 822 Geary St
San Francisco, CA 94109-7228 - Phone
- (805) 796-8145
- NPI assigned
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
822 Geary St
San Francisco, CA 94109-7228
Mailing address
822 Geary St
San Francisco, CA 94109-7228
Other practice location 1
2681 28th Ave
San Francisco, CA 94116-2912
Phone (415) 681-3211
Other practice location 2
1722 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 366-4005
Other practice location 3
2703 Bryant St
San Francisco, CA 94110
Phone (805) 796-8145
Other practice location 4
1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1124561535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 GEARY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 GEARY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941097228",
"telephone_number": "805-796-8145"
}
],
"practiceLocations": [
{
"address_1": "2681 28th Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941162912",
"country_code": "US",
"telephone_number": "415-681-3211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1722 S Lewis Rd",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930128520",
"country_code": "US",
"telephone_number": "805-366-4005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2703 Bryant St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94110",
"country_code": "US",
"telephone_number": "805-796-8145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Vicente St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941162923",
"country_code": "US",
"telephone_number": "415-681-3211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.