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RAQUEL MARIE HENDERSON PA-C
NPI 1770597809
Physician Assistant - Medical in San Bernardino, CA

Active since July 27, 2006PECOS Enrolled
850 W HIGHLAND AVE STE A, SAN BERNARDINO, CA 92405(909) 886-7576 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raquel Marie Henderson Pa-c NPPES

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

RAQUEL MARIE HENDERSON PA-C (NPI 1770597809) is an individual medical provider in San Bernardino, California and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770597809
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRAQUEL MARIE HENDERSONCredential: PA-C
Location Address850 W HIGHLAND AVE STE ASan Bernardino, CA 92405-3855
Mailing Address850 W Highland Ave Ste ASan Bernardino, CA 92405-3855 · (909) 886-7576
Phone(909) 886-7576
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1770597809 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
850 W HIGHLAND AVE STE A, San Bernardino, CA 92405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raquel Marie Henderson Pa-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.

Other Providers at the Same Location NPPES

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

MARIA SOCORRO RUIZ-RODRIGUEZ
Family Medicine
850 W HIGHLAND AVE STE A
SAN BERNARDINO, CA 92405
San Bernardino County (909) 886-7576

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 Raquel Henderson's NPI number?

The NPI number for Raquel Henderson is 1770597809. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Raquel Henderson located?

Raquel Henderson practices at 850 W Highland Ave Ste A, San Bernardino, CA 92405. The listed phone number is (909) 886-7576.

What is Raquel Henderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Raquel Henderson enrolled in Medicare?

Yes. Raquel Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raquel Henderson was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.