J&J Henry Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A116018 Issued in CA

Legal business name

J&J HENRY MEDICAL GROUP

Practice address

2645 Snyder CT
Walnut Creek, CA 94598-4445

Phone

(510) 409-6511

Fax

(402) 434-6047

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Joseph P Henry, MDNPI 1003139445

Title

Owner/Doctor

Phone

(510) 409-6511

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Joseph Patrick Henry, M.D.

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1003139445

  CA, Internal Medicine

  Medicare reassignment NPD Authorized official
• Jessica M Clima, MD

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1932425105

  CA, Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1700391968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SNYDER CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "510-409-6511",
            "fax_number": "719-941-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SNYDER CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984445",
            "telephone_number": "510-409-6511",
            "fax_number": "402-434-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J HENRY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "510-409-6511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116018",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A121536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Elizabeth Iten
• Theresa Virginia Iverson, MPT
• Olga Izmaylova, NP
• J. Frederick Riedel, M.D., Inc.
• J.Christopher Thompson, DDS, Inc
• J3Tfz, Inc.
• Sandra Ja'Chim, FNP
• Roujin Jabbari, PSYD
• Hani R. Jabbour, DMD
• Cynthia Kay Jackson-Burns

• All providers in Walnut Creek, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.