Kathryn Alyce Henick, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G78994 Issued in CA

Practice address

2021 Santa Monica Blvd
Suite 400E
Santa Monica, CA 90404-2208

Phone

(310) 453-5654

Fax

(310) 453-6885

NPI assigned

Feb 22, 2006

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912972779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD.",
            "address_2": "SUITE 400E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643205",
            "telephone_number": "310-453-5654",
            "fax_number": "310-453-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE 400E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-453-5654",
            "fax_number": "310-453-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENICK",
        "first_name": "KATHRYN",
        "middle_name": "ALYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G78994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "G78994",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G789940",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marygrace Kaleeyaa Henderson
• Susan T Henderson, CSW
• Orly Hendizadeh, D.D.S.
• Frank David Hendricks
• Darick Hendrix, MSW
• Aryn Henige, PA-C
• Jeffrey Hennessy, DPT
• Henry K.Kawamoto, Jr.,M.D,D.D.S.
• Lindsay N Henry, M.A.
• Samantha Nancy Henry

• Hematology & Oncology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.