Active NPI
Stanley Peter Henderson, D.C.
- Chiropractor
- Newhall, CA
National Provider Identifier
1811924905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13794
- Practice address
- 25050 Peachland Ave
Suite 155
Newhall, CA 91321-2523 - Phone
- (661) 254-2090
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC13794 | CA | Primary |
Addresses
Primary practice location
25050 Peachland Ave
Suite 155
Newhall, CA 91321-2523
Mailing address
25050 Peachland Ave Ste 155
Newhall, CA 91321-5735
Phone (661) 254-2090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WDC13794A | Other | CA | MEDICARE PTAN |
| DC013794 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25050 Peachland Ave
Suite 155
Newhall, CA 91321-5735
Phone (661) 254-2090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC13794 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley P Henderson D C a Professional Corporation | Chiropractor | Current | Accepting new patients |
Locations
25050 Peachland Ave
Ste 155
Newhall, CA 91321
Phone (661) 254-2090
Organizations & group practices 1
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.
-
- Chiropractor
- Newhall, CA
- NPI 1659301372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1811924905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25050 PEACHLAND AVE STE 155",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913215735",
"telephone_number": "661-254-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25050 PEACHLAND AVE",
"address_2": "SUITE 155",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212523",
"telephone_number": "661-254-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "STANLEY",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WDC13794A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC013794",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.