SYDNEY HENDRICKS (NPI# 1366986069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366986069 |
| Entity Type | Individual |
| Full Name | SYDNEY HENDRICKS |
| Credential | N.P. |
| Practice Address |
15179 Fox Ridge Dr Fontana CA 92336-0206 |
| Practice Telephone | 9099967621 |
| Practice Fax Number | 9515878277 |
| Mailing Telephone | 9099967621 |
| Mailing Fax Number | 9515878277 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005373 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 685 N 13th Ave Ste 10, Upland, CA 917864963 | 9099818383 | 9096080289 |
| Street Address |
15179 FOX RIDGE DR |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-0206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060857 | Andrea Sunga | Nurse Practitioner | 15775 Snowy Peak Ln, Fontana, CA 92336-4578 | 2020-07-10 |
| 1538782214 | Christian Reyes | Nurse Practitioner | 7950 Cherry Ave Ste 106, Fontana, CA 92336-4023 | 2020-05-28 |
| 1992266357 | Christine Marie Mccabe | Nurse Practitioner | 4804 Cloudcrest Way, Fontana, CA 92336-0431 | 2019-03-28 |
| 1154887941 | Arlene Guzman Lopez | Nurse Practitioner | 6939 Almeria Ave, Fontana, CA 92336-5043 | 2019-02-16 |
| 1043782550 | Sofia Editha Locquiao | Nurse Practitioner | 15592 Faith St, Fontana, CA 92336-5739 | 2018-12-20 |
| 1497225965 | Maria Celeste Leonero Labajo | Nurse Practitioner | 15480 Red Pepper Pl, Fontana, CA 92336-3571 | 2018-11-27 |
| 1801332051 | Eberechi Joan Ani | Nurse Practitioner | 16672 Almaden Dr, Fontana, CA 92336-5121 | 2017-01-11 |
| 1265893317 | Leslie Burgess | Nurse Practitioner | 8110 Mango Avenue, Fontana, CA 92335 | 2016-03-17 |
| 1215326103 | James Edward White | Nurse Practitioner | 15294 Camp Rock Ct, Fontana, CA 92336-5340 | 2015-01-15 |
| 1508254095 | Titian Ogo Tittle | Nurse Practitioner | 16653 San Simeon Way, Fontana, CA 92336-1453 | 2015-01-06 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.