Individual provider Active NPI

Louie Barrington Hendricks, MD

  • Surgery Physician
  • Santa Clarita, CA
National Provider Identifier
1306189964
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A151513 Issued in CA
Practice address
25101 The Old Rd
Santa Clarita, CA 91381-2206
Phone
(661) 230-8701
Fax
(626) 628-0439
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A151513 CA Primary

Addresses

Primary practice location

25101 The Old Rd
Santa Clarita, CA 91381-2206

Mailing address

25101 The Old Rd
Santa Clarita, CA 91381-2206
Phone (661) 230-8701

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171012003350 CA Practitioner - General Surgery 2264707561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Izuchukwu Okpara MD IncGroup PAC ID 1052698966, 45 clinicians

Practice addresses (Care Compare)

25101 The Old Rd
Santa Clarita, CA 91381-2206
Phone (844) 960-2673

28212 Kelly Johnson Pkwy
Suite 200
Valencia, CA 91355-5090
Phone (213) 228-3538

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2389
Removal of skin lesions124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151513CAMDSurgery Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Izuchukwu Okpara MD Inc Single Specialty CurrentSince May 1, 2018 Accepting new patients
LB Hendricks Medical Services Inc Single Specialty CurrentSince Oct 7, 2019 Accepting new patients

Locations

10880 Wilshire Blvd
Ste 1101
Los Angeles, CA 90024
Phone (310) 668-1119

5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

25101 The Old Rd
Stevenson Ranch, CA 91381
Phone (661) 230-8701

28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1306189964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 THE OLD RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913812206",
            "telephone_number": "661-230-8701",
            "fax_number": "626-628-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 THE OLD RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913812206",
            "telephone_number": "661-230-8701",
            "fax_number": "626-628-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "LOUIE",
        "middle_name": "BARRINGTON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A151513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.