Sydney Hendricks LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SYDNEY HENDRICKS LLC

Practice address

1798 N Garey Ave
Pomona, CA 91767-2918

Phone

(909) 865-9500

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Sydney Siyon Hendricks, NPNPI 1366986069

Title

Owner

Phone

(909) 996-7621

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Sydney Hendricks, N.P.

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1366986069
  NPD Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1760097877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15179 FOX RIDGE DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360206",
            "telephone_number": "909-996-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-865-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYDNEY HENDRICKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "SIYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-996-7621",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shendricks@sarh.org",
            "affiliation": "N",
            "address_1": "1798 N Garey Ave",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917672918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dong Quang Ta, D.C.

• Family Nurse Practitioner in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.