Hennessay Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HENNESSAY MEDICAL CORPORATION

Doing business as

Hennessay Medical Direct Primary Care

Practice address

3655 Lomita Blvd Ste 307
Torrance, CA 90505-1922

Phone

(424) 235-5235

Fax

(949) 404-6987

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Megan Hennessay, DONPI 1568807873

Title

President

Phone

(424) 235-5235

Specialties & licenses 1

Addresses

Other names 1

• Hennessay Medical Direct Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Elizabeth Hennessay, D.O.

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1568807873
  NPD Authorized official

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1669171625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 W 225TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052902",
            "telephone_number": "310-365-8625",
            "fax_number": "424-447-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051922",
            "telephone_number": "424-235-5235",
            "fax_number": "949-404-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNESSAY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HENNESSAY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-235-5235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hennessay Medical Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hennessay Medical Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khylia Henderson
• Nakuma Henderson, MS
• Geraldine Hendren
• Hendricks Ca Dental Group, Inc
• Liam Heng, AGACNP
• Megan Elizabeth Hennessay, D.O.
• Henry S. Lee, D.D.S. Incorporated
• Henry T. Noguchi, M.D., Inc
• Delores Marie Henry
• Sonya J Henry

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.