Individual provider Active NPI

Robin Gail Henderson, FNP-BC

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1649773227
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008044 Issued in CA
Practice address
69780 Stellar Dr
Rancho Mirage, CA 92270-2954
Phone
(760) 424-3380
NPI assigned
Mar 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008044 CA Primary

Addresses

Primary practice location

69780 Stellar Dr
Rancho Mirage, CA 92270-2954

Mailing address

13143 Gabay CT
Rancho Cucamonga, CA 91739-9400
Phone (909) 809-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508002701 CA Practitioner - Nurse Practitioner 2769746205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
56.38
Improvement activities
40
Cost
82.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008044CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homan a. Zadeh, M.D., M.P.H., Inc. CurrentSince Jan 15, 2024 Accepting new patients
Algos Inc. a Medical Corporation CurrentSince Apr 23, 2018 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Apr 23, 2018 Accepting new patients
Algos Inc., a Medical Corporation Current Accepting new patients
West Coast Health and Rehab PC CurrentSince Nov 1, 2022 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

2211 Mount Vernon Ave
Bakersfield, CA 93306
Phone (502) 596-7588

3900 Garfield Ave
Carmichael, CA 95608
Phone (916) 481-6455

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1330 N Indian Canyon Dr
Ste F
Palm Springs, CA 92262
Phone (760) 327-9402

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

69780 Stellar Dr
Rancho Mirage, CA 92270
Phone (760) 202-2770

69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1649773227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13143 GABAY CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399400",
            "telephone_number": "909-809-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69780 STELLAR DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702954",
            "telephone_number": "760-424-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ROBIN",
        "middle_name": "GAIL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.