DR. BRYN JARALD HENDERSON (NPI# 1447296694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447296694 |
| Entity Type | Individual |
| Full Name | DR. BRYN JARALD HENDERSON |
| Credential | D.O. |
| Practice Address |
615 E Chapman Ave Orange CA 92866-1643 |
| Practice Telephone | 7146394012 |
| Practice Fax Number | 7146394018 |
| Mailing Telephone | 7146394012 |
| Mailing Fax Number | 7146394018 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A4401 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 020A44010 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12620 Brookhurst St Ste 2, Garden Grove, CA 928404875 | 6572510453 | |
| 601 E Chapman Ave, Orange, CA 928661604 | 7146058699 | |
| 711 E Chapman Ave, Orange, CA 928661620 | 7146058699 | 7146394018 |
| 4150 Regents Park Row Ste 235, La Jolla, CA 920371414 | 8582558492 |
| Street Address |
615 E CHAPMAN AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215596499 | Rebecca Jiyun Choi | Pharmacist | 615 E Chapman Ave, Orange, CA 92866-1643 | 2019-06-11 |
| 1326532391 | Nationsmed Medical Group | Family Medicine | 615 E Chapman Ave, Orange, CA 92866 | 2018-06-21 |
| 1225564388 | Han Nguyen | Pharmacist | 615 E Chapman Ave, Orange, CA 92866-1643 | 2017-05-11 |
| 1013328277 | Regenerative Medical Group Inc | Family Medicine | 615 E Chapman Ave, Orange, CA 92866-1643 | 2014-05-09 |
| 1770864621 | Telehealth Medical Group Inc | Family Medicine | 615 E Chapman Ave, Orange, CA 92866-1643 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649748989 | Access Primary Care Physicians, Inc. | Family Medicine | 1100 Town & Country Road, Suite 1600, Orange, CA 92868 | 2018-11-05 |
| 1831622588 | Laetitia Truong | Family Medicine | 293 S Main St # 200, Orange, CA 92868-3843 | 2017-04-10 |
| 1891236535 | Telehealth Medical Group Inc | Family Medicine | 711 E Chapman Ave, Orange, CA 92866-1620 | 2017-03-14 |
| 1538541800 | My Md Inc | Family Medicine | 2680 N Santiago Blvd, Suite 100, Orange, CA 92867-1859 | 2015-06-23 |
| 1821476540 | Clinisanitas, PC | Family Medicine | 100 Boston Post Rd, Orange, CT 06477-3233 | 2015-05-14 |
| 1376839860 | T and D Medical Associates LLC | Family Medicine | 132 William St, Orange, NJ 07050-4065 | 2011-06-22 |
| 1134350606 | Kevin Lin | Family Medicine | 7630 E Chapman Ave Ste B, Orange, CA 92869-8536 | 2009-08-01 |
| 1700049459 | Kasein Gonzalez | Family Medicine | 303 W Katella Ave Ste 308, Orange, CA 92867-4790 | 2008-07-02 |
| 1336347293 | Dustin Anthony Taylor | Family Medicine | 2501 E Chapman Ave Ste 101, Orange, CA 92869-3204 | 2007-07-03 |
| 1265659262 | Joseph Tannenbaum | Family Medicine | 1681 N Hunters Way, Orange, CA 92869-1017 | 2007-04-19 |
| Find all providers in ORANGE | ||||
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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.