LB Hendricks Medical Services Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LB HENDRICKS MEDICAL SERVICES INC

Practice address

25101 The Old Rd
Santa Clarita, CA 91381-2206

Phone

(661) 230-8701

Fax

(626) 628-0439

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Louie Hendricks, MDNPI 1306189964

Title

President&Ceo

Phone

(661) 230-8701

Specialties & licenses 1

Addresses

Other names 1

• Kindly Wound Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louie Barrington Hendricks, MD

  • Surgery Physician
  • Santa Clarita, CA
  • NPI 1306189964

  Single Specialty

  Medicare reassignment NPD Authorized official
• Jagmohan Ghotra, NP

  • Nurse Practitioner
  • Modesto, CA
  • NPI 1689032815
  Medicare reassignment NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1366083842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215730",
            "telephone_number": "661-383-7136",
            "fax_number": "818-356-4380"
        },
        {
            "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": {
        "organization_name": "LB HENDRICKS MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_title_or_position": "PRESIDENT&CEO",
        "authorized_official_telephone_number": "661-230-8701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindly Wound Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindly Wound Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debbie Diane Lavin
• Carolynne Lavoo
• Joan Lawrence, EDD, LPCS, NCC
• Jerria Lazaga
• Patricia Elizabeth Lazarte, BT
• Mai Le
• Yasmin Leanos-Arellano
• Jennifer Mary Leavenworth, LMFT
• Megan Leraye Lecornu, D.M.D.
• Izabella Ledesma

• Surgery Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.