Jean Claude Henry, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A36648 Issued in CA

Practice address

655 S Euclid Ave
Pasadena, CA 91106-3732

Phone

(626) 272-7411

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1971

Medicare assignment

May accept Medicare assignment

Group practices

Henry Mayo Newhall Memorial HospitalGroup PAC ID 5193789121, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12549/brand/1/csg/1/fhir/r4

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.

• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Medicare reassignment Care Compare group
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1780877613
  Medicare reassignment
• J C Henry MD Inc

  • Specialist
  • Altadena, CA
  • NPI 1952727026
  NPD (past) Authorized official
• County of Los Angeles

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1093146052
  NPD (past)
• Henry Mayo Newhall Urgent Care Clinics, LLC

  • Urgent Care Clinic/Center
  • Valencia, CA
  • NPI 1841841038
  NPD (past)
• Rancho Faculty Medical Associates, Inc.

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1750317970
  NPD (past)

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

• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1215022561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063732",
            "telephone_number": "909-338-9880",
            "fax_number": "909-338-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063732",
            "telephone_number": "626-272-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JEAN CLAUDE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A36648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA36648O",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel B. Henriod, D.D.S.
• Daniel Henriquez
• Guadalupe Henriquez
• Henry P Sideropoulos MD Inc
• Kim Henry-Nance, L.M.F.T
• Marlena Henry
• Skylar Madison Henry
• Stephen Douglas Henry, M.D.
• Stefan Henschke
• Aaron M Henson

• Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.