Active NPI
Deborah Christine Henry, M.D.
- Neurological Surgery Physician
- Newport Beach, CA
National Provider Identifier
1407879950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A53188
- Practice address
- 11 Balboa CV
Newport Beach, CA 92663-3226 - Phone
- (626) 390-3125
- Fax
- (949) 645-8788
- NPI assigned
- Jul 25, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A53188 | CA | Primary |
| Neurological Surgery Physician | 207T00000X | H1968 | TX | |
| Neurological Surgery Physician | 207T00000X | 175365 | NY |
Addresses
Primary practice location
11 Balboa CV
Newport Beach, CA 92663-3226
Mailing address
PO Box 3545
Newport Beach, CA 92659-8545
Phone (626) 390-3125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A531880 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175365 | NY | MD | Neurological Surgery Physician |
| H1968 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients | |
| Deborah C, Henry, M.D., Apc | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Newport Beach, CA
- NPI 1619183738
-
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407879950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3545",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926598545",
"telephone_number": "626-390-3125",
"fax_number": "949-645-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BALBOA CV",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633226",
"telephone_number": "626-390-3125",
"fax_number": "949-645-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "DEBORAH",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A53188",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "H1968",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NY",
"license": "175365",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A531880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.