Vada Henriquez

Primary specialty

Assistant Health Information Record TechnicianTaxonomy code 2470A2800X

Practice address

306 E Main St
Stockton, CA 95202-2908

Phone

(209) 478-4554

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Main Street Youth & Family Services

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1467950345
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1649810482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST STE 300",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022908",
            "telephone_number": "209-478-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "VADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Briana Hendrickson
• Judy Hendrickson, MA
• Michelle Leanne Hendrix, LPCC
• Kelly Loraine Henriquez, RDH
• Richard Henriquez
• Henry Y T Wong, MD Inc
• Jocelynn Henry
• John Henry
• Melanie Henry, RDN
• Jovalynn Lisa Hensley

• Assistant Health Information Record Technician in Stockton, CA
• Providers in Stockton, CA by specialty
• Assistant Health Information Record Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.