CAMERON HENNEBERG
NPI 1316408719
Internal Medicine - Gastroenterology in Los Angeles, CA

Active since March 27, 2019PECOS Enrolled
200 MEDICAL PLAZA SUITE 420, LOS ANGELES, CA 90095(310) 206-6232(310) 206-3551 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2026, Mar 17, 2021 (2 updates tracked since 2021).

About Cameron Henneberg NPPES

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

CAMERON HENNEBERG (NPI 1316408719) is an individual gastroenterology provider in Los Angeles, California, licensed in California (A177235) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316408719
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameCAMERON HENNEBERG
Location Address200 MEDICAL PLAZA SUITE 420Los Angeles, CA 90095-4033
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Fax(310) 206-3551
Sole ProprietorNo
Enumeration DateMarch 27, 2019
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1316408719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A177235
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
200 MEDICAL PLAZA SUITE 420, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cameron Henneberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 7

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

Internal Medicine
200 MEDICAL PLAZA SUITE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA SUITE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA SUITE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA SUITE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA SUITE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA SUITE 420
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA SUITE 420
LOS ANGELES, CA 90095

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 Cameron Henneberg's NPI number?

The NPI number for Cameron Henneberg is 1316408719. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Cameron Henneberg located?

Cameron Henneberg practices at 200 Medical Plaza Suite 420, Los Angeles, CA 90095. The listed phone number is (310) 206-6232.

What is Cameron Henneberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Cameron Henneberg enrolled in Medicare?

Yes. Cameron Henneberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Henneberg was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.