Active NPI
Henry Alvin Jennings Jr.
- Orthotist
- Riverside, CA
National Provider Identifier
1225108475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CPO-02544
- Practice address
- 10683 Magnolia Ave
Suite a
Riverside, CA 92505-1893 - Phone
- (951) 352-2029
- Fax
- (951) 352-2549
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO-02544 | CA | Primary |
| Prosthetist | 224P00000X | CPO-02544 | CA |
Addresses
Primary practice location
10683 Magnolia Ave
Suite a
Riverside, CA 92505-1893
Mailing address
10683 Magnolia Ave
Suite a
Riverside, CA 92505-1893
Phone (951) 352-2029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GXC000030 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO-02544 | CA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennings Orthopedic Inc | Orthotist | Current | Accepting new patients |
Locations
10683 Magnolia Ave
Ste A
Riverside, CA 92505
Phone (951) 352-2029
Organizations & group practices 1
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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1225108475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10683 MAGNOLIA AVE",
"address_2": "SUITE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051893",
"telephone_number": "951-352-2029",
"fax_number": "951-352-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10683 MAGNOLIA AVE",
"address_2": "SUITE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051893",
"telephone_number": "951-352-2029",
"fax_number": "951-352-2549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "HENRY",
"middle_name": "ALVIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CPO-02544",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "CPO-02544",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GXC000030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.