DR. BEVERLY R HENDRICKSON MD
NPI 1306910906
Pediatrics in San Juan Capistrano, CA

NPI Status: Active since November 17, 2006

Contact Information

30230 RANCHO VIEJO RD
SUITE A
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (949) 493-7337
Fax: (949) 373-1300

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  • Individual
  • Female
  • Pediatrics

About BEVERLY HENDRICKSON

This page provides the complete NPI Profile along with additional information for Beverly Hendrickson, a pediatrician established in San Juan Capistrano, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1306910906 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X with license number G40908 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1306910906
Provider Name
DR. BEVERLY R HENDRICKSON MD
Gender
Female
Entity Type
Individual
Location Address
30230 RANCHO VIEJO RD SUITE A SAN JUAN CAPISTRANO, CA 92675
Location Phone
(949) 493-7337
Location Fax
(949) 373-1300
Mailing Address
30230 RANCHO VIEJO RD SUITE A SAN JUAN CAPISTRANO, CA 92675
Mailing Phone
(949) 493-7337
Mailing Fax
(949) 373-1300
Is Sole Proprietor?
No
Enumeration Date
11-17-2006
Last Update Date
07-08-2007
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A pediatrician like Beverly Hendrickson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
G40908
License State
CA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E17548MEDICARE UPIN (02) 
GR0081160MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306910906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306181090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 8 + 1 + 0 + 9 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1306910906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346331725PALOMA MEDICAL GROUP INC
Organization
Specialist30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1982655304DR. PATRICIA ANN AHEARN M.D.
Individual
Internal Medicine30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1881647642DR. YU-HUA FANG M.D.
Individual
Internal Medicine30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1417902149DR. WILLIAM WEIMING CHANG D.O.
Individual
Internal Medicine (Pulmonary Disease)30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(714) 571-5000
1447330915 RAHUL MADHAV KALE MD
Individual
Internal Medicine (Pulmonary Disease)30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1457431504 WILLIAM GUSTIN MD
Individual
Hospitalist30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1679816680 KAREN JEAN CARUSO MSN, RN, FNP-BC
Individual
Nurse Practitioner (Family)30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1184675688DR. MICHAEL ANTHONY ROVZAR M.D.
Individual
Internal Medicine (Pulmonary Disease)30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1801129663 SANJIVAN SINGH KOHLI MD
Individual
Internal Medicine (Pulmonary Disease)30230 RANCHO VIEJO RD SUITE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1871785220DR. BRYAN O KING M.D.
Individual
Internal Medicine (Pulmonary Disease)30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
1033501077PACIFIC PRIVATE PRACTICE NETWORK INC
Organization
Internal Medicine (Pulmonary Disease)30230 RANCHO VIEJO RD SUITE 110
SAN JUAN CAPISTRANO, CA 92675
(949) 441-5681

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306910906, enumerated in the NPI registry as an "individual" on November 17, 2006

The provider is located at 30230 Rancho Viejo Rd Suite A San Juan Capistrano, Ca 92675 and the phone number is (949) 493-7337

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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