Donald W Henderson, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C41897 Issued in CA

Practice address

1950 Sunnycrest Dr
Suite 2800
Fullerton, CA 92835-3638

Phone

(714) 992-5350

Fax

(714) 992-8156

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dhenderson1373071@oc.providencedirect.org

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.

• Medical Center for Women

  • Obstetrics & Gynecology Physician
  • Fullerton, CA
  • NPI 1417961343
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1447217898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 2800",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNYCREST DR",
            "address_2": "SUITE 2800",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353638",
            "telephone_number": "714-992-5350",
            "fax_number": "714-992-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C41897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhenderson1373071@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 Laguna Rd Ste 100",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melinda J Heise, M.A., CCC-SLP
• Helen D. Kim D.D.S., Inc.
• Brody Helenihi
• Madison Lee Helms, PA-C
• Aaliyah Simone Henderson
• George Alexander Henderson IV
• Janeen D Henderson, CNP
• Beverly Hendricks, COTA/C
• Vincente Salvador Hendricks, NONE
• Mark Hennig, DDS

• Obstetrics & Gynecology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.