Andrew Henrick, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G36573 Issued in CA

Practice address

23961 Calle de la Magdalena
Ste. 302
Laguna Hills, CA 92653-3665

Phone

(949) 588-2020

Fax

(949) 588-0336

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of California, Geffen School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Coast Eye Care Centers, a Comp Ophthalmology Medical GRP Inc.Group PAC ID 0547299901, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: andrew.henrick.p27@direct.monarchhealthcare.nextgenshare.com

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.

• South Coast Eye Care Centers a Comp Ophthalmology Medical GRP Inc.

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1063459725
  Medicare reassignment Care Compare group NPD Authorized official
• South Coast Eye Care Centers

  • Eyewear Supplier
  • Laguna Hills, CA
  • NPI 1518935725
  NPD (past) Authorized official
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1700870821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "STE. 302",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533665",
            "telephone_number": "949-588-2020",
            "fax_number": "949-588-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "STE. 302",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533665",
            "telephone_number": "949-588-2020",
            "fax_number": "949-588-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICK",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G36573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G365730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha T Henderson, LCSW
• Taylor Kondo Henderson, PT, DPT
• Hendon Home LLC
• Timothy Hennessey
• Heidi Henri, C.O.T.A
• Henry Cheng MD Inc
• Henry E. Bruce MD Inc.
• Brian L Henry
• Terry Heptinstall, MA, LMFT, LPCC
• Yvonne Degrasse Herman, MFT

• Ophthalmology Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.
• 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.