HENDERSON SURGICAL PHYSICIAN ASSISTANT
NPI 1982129342
Physician Assistant - Surgical in Riverside, CA

Active since August 07, 2017
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 443-9606 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Henderson Surgical Physician Assistant NPPES

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

HENDERSON SURGICAL PHYSICIAN ASSISTANT (NPI 1982129342) is a healthcare organization registered as a surgical in Riverside, California and active in the NPI registry since August 2017. The organization lists Sofia Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1982129342
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameHENDERSON SURGICAL PHYSICIAN ASSISTANT
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing Address12625 Frederick St # I5215Moreno Valley, CA 92553-5216 · (951) 443-9606
Organization SubpartNo
Authorized OfficialSofia HendersonPresident · (951) 443-9606
Enumeration DateAugust 7, 2017
NPI 1982129342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 51407
4445 MAGNOLIA AVE, Riverside, CA 92501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Physician Assistant
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Hospitalist
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Emergency Medicine
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501

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 Henderson Surgical Physician Assistant's NPI number?

The NPI number for Henderson Surgical Physician Assistant is 1982129342. It was assigned to this organization in the NPPES registry on August 7, 2017.

Where is Henderson Surgical Physician Assistant located?

Henderson Surgical Physician Assistant is located at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 443-9606.

What is Henderson Surgical Physician Assistant's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Henderson Surgical Physician Assistant was last updated on August 7, 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.