Individual provider Active NPI

Jaime O Henriquez, MD

  • Interventional Cardiology Physician
  • Arcadia, CA
National Provider Identifier
1922058718
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A79202 Issued in CA
Practice address
289 W Huntington Dr Ste 401
Arcadia, CA 91007-3493
Phone
(626) 254-0074
Fax
(626) 254-0079
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A79202 CA
Interventional Cardiology Physician 207RI0011X A79202 CA Primary

Addresses

Primary practice location

289 W Huntington Dr Ste 401
Arcadia, CA 91007-3493

Mailing address

235 E Badillo St
Covina, CA 91723-2116
Phone (626) 793-2885

Other identifiers 1

IdentifierTypeStateIssuer
00A792020MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061113000566 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1052319704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Southern California Keck School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothill Cardiology Medical Group IncGroup PAC ID 8527049261, 36 clinicians

Practice addresses (Care Compare)

289 W Huntington Dr
Suite 401
Arcadia, CA 91007-3493
Phone (626) 254-0074

289 W Huntington Dr
Suite 401
Arcadia, CA 91007-3495
Phone (626) 254-0074

Hospital & facility affiliations

  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
86.41
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Pacemaker insertion or repair1-10
Varicose vein removal25
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79202CAMDSocial Worker
A79202CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Cardiology Medical Group Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

301 W Huntington Dr
Ste 301
Arcadia, CA 91007
Phone (626) 254-2007

289 W Huntington Dr
Ste 401
Arcadia, CA 91007
Phone (626) 254-0074

201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404

235 E Badillo St
Covina, CA 91723
Phone (626) 793-2885

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1808 Verdugo Blvd
Ste 414
Glendale, CA 91208
Phone (818) 265-5400

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

625 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105
Phone (626) 793-4139

145 Vista Ave
Ste 101
Pasadena, CA 91107
Phone 6267932885 ext. 520

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1334 W Covina Blvd
Ste 205
San Dimas, CA 91773
Phone (818) 915-4700

416 W Las Tunas Dr
Ste 205
San Gabriel, CA 91776
Phone (626) 571-7958

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jaime.henriquez.p166@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1922058718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232116",
            "telephone_number": "626-793-2885",
            "fax_number": "626-793-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 401",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073493",
            "telephone_number": "626-254-0074",
            "fax_number": "626-254-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "JAIME",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A79202",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A79202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A792020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.