Active NPI
Cristina Cedillo Henderson, PPS
- Case Manager/Care Coordinator
- Concord, CA
National Provider Identifier
1346977733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1936 Carlotta Dr
Concord, CA 94519-1358 - Phone
- (925) 682-8000
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1936 Carlotta Dr
Concord, CA 94519-1358
Mailing address
202 Margie Dr
Pleasant Hill, CA 94523-2928
Phone (510) 940-3810
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hendersonc@mdusd.org |
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": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1346977733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 MARGIE DR",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232928",
"telephone_number": "510-940-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 CARLOTTA DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945191358",
"telephone_number": "925-682-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CRISTINA",
"middle_name": "CEDILLO",
"credential": "PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hendersonc@mdusd.org",
"affiliation": "N",
"address_1": "1936 Carlotta Dr",
"city": "Concord",
"state": "CA",
"country_code": "US",
"postal_code": "945191358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.