Michelle A Henrick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15203 Issued in CA

Practice address

100 Park PL Ste 120
San Ramon, CA 94583

Phone

(925) 806-0757

Fax

(925) 277-1557

NPI assigned

Jun 23, 2006

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

Other names 1

• Michelle Trumpler Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Susan E Gutierrez, MD

  • Pain Medicine Physician
  • San Ramon, CA
  • NPI 1518961127
  Medicare reassignment
• Center for Pain and Rehabilitation Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Ramon, CA
  • NPI 1073104725
  NPD (past)
• Daniel J. Smeester, M.D., Inc.

  • Emergency Care Clinic/Center
  • Walnut Creek, CA
  • NPI 1841850658
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1689600470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 120",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834460",
            "telephone_number": "925-806-0757",
            "fax_number": "925-277-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 120",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-806-0757",
            "fax_number": "925-277-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2281 East St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945202013",
            "country_code": "US",
            "telephone_number": "925-806-0757",
            "fax_number": "925-277-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRICK",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TRUMPLER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healthy Minds Healthy Body Institute
• Saliha Heddadji
• Amy Heinzer, PTA
• Kyle Henderson
• Shannon Hennessy
• Alexandra Henry
• Callie Herbold
• Britney Hernandez Cabrera
• Maria Guadalupe Hernandez de la Rosa
• Stephanie Hernandez Marquez

• Physician Assistant in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.