Active NPI
Hendrix Lafontant, DO
- General Practice Physician
- San Diego, CA
National Provider Identifier
1962036954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0102206829
- Practice address
- Naval Medical Center San Diego 34000 Bob Wilson Drive
San Diego, CA 92134-0001 - Phone
- (813) 351-9287
- NPI assigned
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0102206829 | VA | |
| General Practice Physician | 208D00000X | 0102206829 | VA | Primary |
Addresses
Primary practice location
Naval Medical Center San Diego 34000 Bob Wilson Drive
San Diego, CA 92134-0001
Mailing address
Naval Medical Center San Diego 34000 Bob Wilson Drive
San Diego, CA 92134-0001
Phone (813) 351-9287
Other practice location 1
3465 Senn Rd
San Diego, CA 92136-5031
Phone (619) 556-5191
Other practice location 2
6905 Harris Ave
Kailua, HI 96734
Phone (808) 257-3365
Other practice location 3
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000
Other practice location 4
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (619) 532-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102206829 | VA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1962036954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER SAN DIEGO 34000 BOB WILSON DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921340001",
"telephone_number": "813-351-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER SAN DIEGO 34000 BOB WILSON DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921340001",
"telephone_number": "813-351-9287"
}
],
"practiceLocations": [
{
"address_1": "3465 Senn Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921365031",
"country_code": "US",
"telephone_number": "619-556-5191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6905 Harris Ave",
"address_purpose": "LOCATION",
"city": "Kailua",
"state": "HI",
"postal_code": "96734",
"country_code": "US",
"telephone_number": "808-257-3365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34800 Bob Wilson Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921341098",
"country_code": "US",
"telephone_number": "619-532-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFONTANT",
"first_name": "HENDRIX",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-27",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0102206829",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102206829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.