MR. DENIS HENTRICH P.A.-C
NPI 1407954100
Physician Assistant - Medical in Yreka, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since September 20, 2006PECOS Enrolled

475 BRUCE ST, YREKA, CA 96097(530) 842-3507(530) 841-8533 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Denis Hentrich P.a.-c NPPES

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

MR. DENIS HENTRICH P.A.-C (NPI 1407954100) is an individual medical provider in Yreka, California, licensed in California (13672) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407954100

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DENIS HENTRICHCredential: P.A.-C

Location Address475 BRUCE STYreka, CA 96097-3474

Mailing Address475 Bruce StYreka, CA 96097-3474 · (530) 842-3507 · Fax (530) 841-8533

Phone(530) 842-3507

Fax(530) 841-8533

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 13, 2014

✔ NPI 1407954100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 13672

475 BRUCE ST, Yreka, CA 96097

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Other Identifiers 2

Other13672CA · License

Medicare UPINPO2329CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Denis Hentrich P.a.-c 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.