HENRY BERGQUIST
NPI 1497286637
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 21, 2017PECOS Enrolled
2020 ZONAL AVE STE IRD624, LOS ANGELES, CA 90089(323) 409-6771 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Henry Bergquist NPPES

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

HENRY BERGQUIST (NPI 1497286637) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497286637
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHENRY BERGQUIST
Location Address2020 ZONAL AVE STE IRD624Los Angeles, CA 90089-0121
Mailing Address51 N Wiota StPhiladelphia, PA 19104-2212 · (617) 733-2078
Sole ProprietorYes
Enumeration DateMarch 21, 2017
NPI 1497286637 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.
2020 ZONAL AVE STE IRD624, Los Angeles, CA 90089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Henry Bergquist 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.

Other Providers at the Same Location NPPES

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

Internal Medicine
2020 ZONAL AVE STE IRD624
LOS ANGELES, CA 90089

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 Henry Bergquist's NPI number?

The NPI number for Henry Bergquist is 1497286637. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Henry Bergquist located?

Henry Bergquist practices at 2020 Zonal Ave Ste Ird624, Los Angeles, CA 90089. The listed phone number is (323) 409-6771.

What is Henry Bergquist's specialty?

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

Is Henry Bergquist enrolled in Medicare?

Yes. Henry Bergquist is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Henry Bergquist was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.