GINA HENRY
NPI 1477940625
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, WESTERLY SUITE C, LLU FAMILY MEDICINE RESIDENCY, LOMA LINDA, CA 92354(909) 558-6688 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2021, May 23, 2019 (2 updates tracked since 2019).

About Gina Henry NPPES

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

GINA HENRY (NPI 1477940625) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1477940625
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGINA HENRY
Location Address11234 ANDERSON ST, WESTERLY SUITE C, LLU FAMILY MEDICINE RESIDENCYLoma Linda, CA 92354-2804
Mailing Address393 E Walnut St, Fl 3Pasadena, CA 91188-0001 · (909) 558-6688
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 24, 2015
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPI 1477940625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11234 ANDERSON ST, Loma Linda, CA 92354

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

Gina Henry 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 ID7214260934
PECOS Enrollment IDI20190612002581
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.

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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Gina Henry's NPI number?

The NPI number for Gina Henry is 1477940625. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Gina Henry located?

Gina Henry practices at 11234 Anderson St Westerly Suite C, Llu Family Medicine Residency, Loma Linda, CA 92354. The listed phone number is (909) 558-6688.

What is Gina Henry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gina Henry enrolled in Medicare?

Yes. Gina Henry 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 Gina Henry was last updated on December 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.