DR. THERESA C HENDERSON MD
NPI 1497878177
Specialist in Los Angeles, CA

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
8631 W 3RD ST, SUITE 815-E, LOS ANGELES, CA 90048(310) 652-3055(310) 652-0738 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theresa C Henderson Md NPPES

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

DR. THERESA C HENDERSON MD (NPI 1497878177) is an individual specialist in Los Angeles, California, licensed in California (A40129) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1497878177
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. THERESA C HENDERSONCredential: MD
Location Address8631 W 3RD ST, SUITE 815-ELos Angeles, CA 90048-5901
Mailing Address8631 W 3rd St, Suite 815-eLos Angeles, CA 90048-5901 · (310) 652-3055 · Fax (310) 652-0738
Fax(310) 652-0738
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1497878177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A40129
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8631 W 3RD ST, Los Angeles, CA 90048

Other Identifiers 1

Medicare UPINA29057CA

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. Theresa C Henderson Md 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 ID1052573540
PECOS Enrollment IDI20120430000131
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.

Internal Medicine (Cardiovascular Disease)
8631 W 3RD ST, SUITE 1030
LOS ANGELES, CA 90048
Physician Assistant
8631 W 3RD ST, 715E
LOS ANGELES, CA 90048
Dentist (General Practice)
8631 W 3RD ST, 1010E
LOS ANGELES, CA 90048
Surgery (Vascular Surgery)
8631 W 3RD ST, SUITE 615E
LOS ANGELES, CA 90048
Internal Medicine (Pulmonary Disease)
8631 W 3RD ST, SUITE 735
LOS ANGELES, CA 90048
Internal Medicine (Pulmonary Disease)
8631 W 3RD ST, SUITE 735E
LOS ANGELES, CA 90048
Dentist (General Practice)
8631 W 3RD ST, SUITE 730-E
LOS ANGELES, CA 90048
Otolaryngology
8631 W 3RD ST, SUITE 440 EAST
LOS ANGELES, CA 90048

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 Theresa Henderson's NPI number?

The NPI number for Theresa Henderson is 1497878177. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Theresa Henderson located?

Theresa Henderson practices at 8631 W 3rd St Suite 815-E, Los Angeles, CA 90048. The listed phone number is (310) 652-3055.

What is Theresa Henderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Theresa Henderson enrolled in Medicare?

Yes. Theresa Henderson 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 Theresa Henderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.