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DR. KIM T HENON D.O.
NPI 1245515923
Family Medicine in Fontana, CA

Active since October 13, 2011PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-5084 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kim T Henon D.o. NPPES

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

DR. KIM T HENON D.O. (NPI 1245515923) is an individual family medicine provider in Fontana, California, licensed in California (20A11983) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1245515923
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIM T HENONCredential: D.O.
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-5084
Phone(909) 427-5084
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 13, 2011
Last NPPES UpdateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1245515923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A11983
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9961 SIERRA AVE, Fontana, CA 92335
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kim T Henon D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648426239
PECOS Enrollment IDI20120815000077
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHEILA ANN VANALLEN PT
Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
San Bernardino County (909) 427-7727
MR. JAMES DAVID KILLEEN III M.D.
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
San Bernardino County (909) 427-6960
MR. DHIRESH N PATEL RPH
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 302-8018
MS. STELLA MARIS CARLOS R.D.
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 472-7185
KADETTE KELLY CRNA
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
YAEL STEINFELD NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
SCOTT SWARTZ NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
ROBERT M. THEAL MD
Family Medicine
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910

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 Kim Henon's NPI number?

The NPI number for Kim Henon is 1245515923. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Where is Kim Henon located?

Kim Henon practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5084.

What is Kim Henon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kim Henon enrolled in Medicare?

Yes. Kim Henon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kim Henon was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.