MR. ADAM GEORGE HENDRIKSEN IDMT
NPI 1114372786
Military Health Care Provider - Independent Duty Medical Technicians in El Segundo, CA

Active since May 02, 2016
483 N AVIATION BLVD, EL SEGUNDO, CA 90245(310) 653-2873 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Adam George Hendriksen Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ADAM GEORGE HENDRIKSEN IDMT (NPI 1114372786) is an individual independent duty medical technicians provider in El Segundo, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1114372786
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. ADAM GEORGE HENDRIKSENCredential: IDMT
Location Address483 N AVIATION BLVDEl Segundo, CA 90245-2808
Mailing Address483 N Aviation BlvdEl Segundo, CA 90245-2808 · (310) 653-2873
Sole ProprietorNo
Enumeration DateMay 2, 2016
NPI 1114372786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

483 N AVIATION BLVD, El Segundo, CA 90245

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Physician Assistant
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Social Worker (Clinical)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Pediatrics
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Dietitian, Registered
483 N AVIATION BLVD, 61 MEDICAL SQUADRON LAAFB
EL SEGUNDO, CA 90245
Preventive Medicine (Occupational Medicine)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Family Medicine
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Physical Therapist
483 N AVIATION BLVD, BLDG 210
EL SEGUNDO, CA 90245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Hendriksen's NPI number?

The NPI number for Adam Hendriksen is 1114372786. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Adam Hendriksen located?

Adam Hendriksen practices at 483 N Aviation Blvd, El Segundo, CA 90245. The listed phone number is (310) 653-2873.

What is Adam Hendriksen's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Adam Hendriksen was last updated on May 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.