Active NPI
Hendricks Medical Corporation
- Obesity Medicine (Family Medicine) Physician
- Roseville, CA
National Provider Identifier
1700755238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- Legal business name
- HENDRICKS MEDICAL CORPORATION
- Practice address
- 2510 Douglas Blvd Ste 200
Roseville, CA 95661-3301 - Phone
- (530) 217-5868
- NPI assigned
- Nov 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Austin Flohr
- Title
- Executive Director
- Phone
- (530) 217-5868
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | Primary | ||
| Clinical Pathology Physician | 207ZC0006X |
Addresses
Primary practice location
2510 Douglas Blvd Ste 200
Roseville, CA 95661-3301
Mailing address
3240 Professional Dr
Auburn, CA 95602-2409
Phone (530) 217-5868
National Provider Directory
National Provider DirectoryLocations
3240 Professional Dr
Auburn, CA 95602
Phone (530) 823-9350
2510 Douglas Blvd
Ste 200
Roseville, CA 95661
Phone (916) 202-5759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1700755238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 PROFESSIONAL DR",
"city": "AUBURN",
"state": "CA",
"postal_code": "956022409",
"telephone_number": "530-217-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 DOUGLAS BLVD STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613301",
"telephone_number": "530-217-5868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKS MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "FLOHR",
"authorized_official_first_name": "AUSTIN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "530-217-5868"
},
"taxonomies": [
{
"code": "207QB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ZC0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.