Individual provider Active NPI

Karen Hendrickx, P.A.

  • Medical Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1952734048
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13971 Issued in CA
Practice address
320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716
Phone
(949) 645-2930
Fax
(949) 645-1059
NPI assigned
Aug 13, 2013
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13971 CA Primary

Addresses

Primary practice location

320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716

Mailing address

320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716
Phone (949) 645-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13971CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kabir Ahmed, Inc Past Accepting new patients
Robert Skversky, M.D., Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1952734048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-645-2930",
            "fax_number": "949-645-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-645-2930",
            "fax_number": "949-645-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKX",
        "first_name": "KAREN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.