Victoria Henriquez, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

53883 Issued in CA

Practice address

6 Woodland Rd Ste 202
Saint Helena, CA 94574

Phone

(707) 968-0670

NPI assigned

Oct 12, 2011

Last updated

Nov 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
• Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.91 of 100Reported as group

Quality

75.49

Promoting interoperability

94

Improvement activities

40

Cost

73.96

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• St. Helena Hospital

  dba Adventist Health St. Helena

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Medicare reassignment Care Compare group
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Urology Physician
  • Saint Helena, CA
  • NPI 1437555422
  NPD
• St. Helena Hospital

  dba Adventist Health Vallejo

  • Psychiatric Hospital
  • Vallejo, CA
  • NPI 1851381990
  NPD
• Radnothy Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Tavares, FL
  • NPI 1821163270
  NPD
• Southeastern Clinical Services,Inc.

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1033162011
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Clearlake Hospital Inc.

  dba Adventist Health Clear Lake

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Care Compare affiliation
• St. Helena Hospital

  dba Adventist Health St. Helena

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Care Compare affiliation

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1184909905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 202",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 202",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "94574",
            "telephone_number": "707-968-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328042206",
            "country_code": "US",
            "telephone_number": "407-539-2000",
            "fax_number": "407-398-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328042206",
            "country_code": "US",
            "telephone_number": "407-539-2000",
            "fax_number": "407-398-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106201",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106201",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "53883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FP210Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arun Shrikant Hatwalkar, MD
• Denise Hawkins, R.D.N.
• Laura Boeschen Heffernan, PHD
• Darleen H Hemmerlin, DDS
• Alexa Henderson, M.D.
• Bryan Henry, MD
• Steven Carlton Herber, MD
• Sandra Hernandez, PPS
• Kathleen Yvette Herrera, M.S.W., L.C.S.W.
• Lea Hetland, RN, CRNA

• Surgical Physician Assistant in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.