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DR. DOUGLAS L HENDRICKS MD
NPI 1922165703
Plastic Surgery in Newport Beach, CA

Active since January 02, 2007
280 NEWPORT CENTER DR, SUITE 120, NEWPORT BEACH, CA 92660(949) 640-9570(949) 640-9569 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2020, Feb 6, 2017 (2 updates tracked since 2017).

About Dr. Douglas L Hendricks Md NPPES

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

DR. DOUGLAS L HENDRICKS MD (NPI 1922165703) is an individual plastic surgery provider in Newport Beach, California, licensed in California (G069421) and active in the NPI registry since January 2007. He maintains a secondary practice location in Loves Park.

NPPES Registry Identity

NPI1922165703
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DOUGLAS L HENDRICKSCredential: MD
Location Address280 NEWPORT CENTER DR, SUITE 120Newport Beach, CA 92660-7526
Mailing Address280 Newport Center Dr, Suite 120Newport Beach, CA 92660-7526 · (949) 640-9570 · Fax (949) 640-9569
Phone(949) 640-9570
Fax(949) 640-9569
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1922165703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · G069421
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License G069421 (CA)
Also ListedSurgeryTaxonomy 208600000X · License 036151135 (IL)
280 NEWPORT CENTER DR, Newport Beach, CA 92660
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Other Names 1

Professional Name (2)Dr. Douglas L Hendricks Md

Secondary Practice Location 1

Location 17402 E Riverside BlvdLoves Park, IL 61111-5630 · Phone (815) 971-3920 · Fax (815) 226-9672

Other Identifiers 2

Medicaid036151135IL
Medicaid1922165703WI

Other Providers at the Same Location NPPES 9

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

PACIFICA COSMETIC SURGERY CENTER, A MEDICAL CORP
Clinic/Center (Health Service)
280 NEWPORT CENTER DR, SUITE 120
NEWPORT BEACH, CA 92660
Orange County (949) 640-9570
FARZAN SHABBIR RAJPUT MD
Internal Medicine (Cardiovascular Disease)
280 NEWPORT CENTER DR, SUITE 110
NEWPORT BEACH, CA 92660
Orange County (949) 870-6668
MRS. KELLY EUNJOO KIM LAC
Acupuncturist
280 NEWPORT CENTER DR, SUITE 200
NEWPORT BEACH, CA 92660
Orange County (949) 729-9987
COASTAL COUNSELING & COACHING, INC
Community/Behavioral Health
280 NEWPORT CENTER DR, SUITE 200
NEWPORT BEACH, CA 92660
Orange County (949) 222-6688
FARZAN S. RAJPUT, MD INC
Internal Medicine (Cardiovascular Disease)
280 NEWPORT CENTER DR, SUITE 110
NEWPORT BEACH, CA 92660
Orange County (949) 870-6668
DR. KATHLEEN ANNE NICKERSON PHD
Psychologist (Clinical)
280 NEWPORT CENTER DR, SUITE 200
NEWPORT BEACH, CA 92660
Orange County (949) 222-6688
DR. JAMES WILLIAM CORREA DDS
Dentist
280 NEWPORT CENTER DR, #230
NEWPORT BEACH, CA 92660
Orange County (949) 706-2100
SARAH K KWON
Acupuncturist
280 NEWPORT CENTER DR, 200
NEWPORT BEACH, CA 92660
Orange County (949) 729-9909

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 Douglas Hendricks's NPI number?

The NPI number for Douglas Hendricks is 1922165703. It was assigned to this individual provider in the NPPES registry on January 2, 2007. The provider is also known as Dr. Douglas L Hendricks MD.

Where is Douglas Hendricks located?

Douglas Hendricks practices at 280 Newport Center Dr Suite 120, Newport Beach, CA 92660. The listed phone number is (949) 640-9570.

What is Douglas Hendricks's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Douglas Hendricks was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.