NPIMap

Individual provider Active NPI

Michael David Hendrick, MD

  • Family Medicine Physician
  • Monterey, CA
National Provider Identifier
1568492015
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76309 Issued in CA
Practice address
1900 Garden Rd Ste 100
Monterey, CA 93940-5334
Phone
(831) 375-4945
Fax
(831) 375-4779
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A76309 CA Primary

Addresses

Primary practice location

1900 Garden Rd Ste 100
Monterey, CA 93940-5334

Mailing address

1900 Garden Rd Ste 100
Monterey, CA 93940-5334
Phone (831) 375-4945

Other practice location 1

1010 Cass St
Ste C-2
Monterey, CA 93940
Phone (831) 375-4945

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pfmgmed@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081013000170 CA Practitioner - Family Practice 3173691532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1900 Garden Rd
Suite 100
Monterey, CA 93940-5334
Phone (831) 375-4945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76309CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott H Schneiderman DO a Medical Corp Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.hendrick.1@1819.direct.athenahealth.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1568492015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GARDEN RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405334",
            "telephone_number": "831-375-4945",
            "fax_number": "831-375-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GARDEN RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405334",
            "telephone_number": "831-375-4945",
            "fax_number": "831-375-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Cass St",
            "address_2": "Ste C-2",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "93940",
            "country_code": "US",
            "telephone_number": "831-375-4945",
            "fax_number": "831-375-4779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pfmgmed@gmail.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 Garden Rd Ste 100",
            "city": "Monterey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939405334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.