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MR. JAMES DATSON HERNDON PA-C
NPI 1689924581
Physician Assistant in Rancho Mirage, CA

Active since September 18, 2012
69730 HIGHWAY 111 STE 109, RANCHO MIRAGE, CA 92270(760) 778-6120(607) 406-6077 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Sep 16, 2020 (2 updates tracked since 2020).

About Mr. James Datson Herndon Pa-c NPPES

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

MR. JAMES DATSON HERNDON PA-C (NPI 1689924581) is an individual physician assistant in Rancho Mirage, California, licensed in California (PA16694) and active in the NPI registry since September 2012. He maintains a secondary practice location in Indio.

NPPES Registry Identity

NPI1689924581
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JAMES DATSON HERNDONCredential: PA-C
Location Address69730 HIGHWAY 111 STE 109Rancho Mirage, CA 92270-2873
Mailing Address69730 Highway 111 Ste 109Rancho Mirage, CA 92270-2873 · (206) 852-8815
Phone(760) 778-6120
Fax(607) 406-6077
Sole ProprietorYes
Enumeration DateSeptember 18, 2012
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1689924581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA16694✔ Licensed in OR · PA156961
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
69730 HIGHWAY 111 STE 109, Rancho Mirage, CA 92270
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Secondary Practice Location 1

Location 144359 Palm StIndio, CA 92201-3116 · Phone (760) 342-6616

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.

WARREN WOOD CADC-CAS
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
MR. DEWAYNE PATTERSON SR.
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
JOY YAGHOUBIAN CADC I
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 408-1348
AMBER ALVAREZ LVN
Licensed Vocational Nurse
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 409-7100
MARCIE JO GILMAN
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 507-5821
ERIC LEE RENNACKER LMFT
Marriage & Family Therapist
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-7111
AURELIA BENAVIDEZ
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 322-1777
WILLIAM WORTHINGTON
Counselor (Addiction (Substance Use Disorder))
69730 HIGHWAY 111 STE 109
RANCHO MIRAGE, CA 92270
Riverside County (760) 835-2419

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 James Herndon's NPI number?

The NPI number for James Herndon is 1689924581. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is James Herndon located?

James Herndon practices at 69730 Highway 111 Ste 109, Rancho Mirage, CA 92270. The listed phone number is (760) 778-6120.

What is James Herndon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for James Herndon was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.