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Beverly Hendricks , COTA, C

Specialist • Fullerton, CA

Active NPI 1174769525 Individual Practitioner Female Practitioner
Practice location in NPPES

1612 E Union Ave
Fullerton, CA 928312936

Call 7146394990 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1612 E Union Ave

Fullerton, CA 928312936

Telephone 7146394990
Organization at the Same NPPES Address or Phone
Providence Speech And Hearing Center Facility NPI 1184973752

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fullerton and California

15 active clinicians are listed under Specialist with a practice address in Fullerton, CA (5,756 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fullerton

6.7% of these 15 clinicians have the CMS telehealth indicator.

6.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES CA 1074989

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Nisreen Alkhayer

Audiologist

NPI 1053712828
Dr. Preethi Codanda Chengappa , AuD

Audiologist-Hearing Aid Fitter

NPI 1841818085

Doctor of Audiology

NPI 1699344192

Doctor of Audiology

Dr. Kimberly Schatz , AUD CCC-A, F-AAA

Audiologist-Hearing Aid Fitter

NPI 1922023985

AUDCCCA, FAAA

NPI 1629275516

Doctor of Audiology

Career & Practice History

NPI enumerated January 06, 2009.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1174769525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2009
Last Update: January 06, 2009
Sole Proprietor: No

Mailing Address

1612 E Union Ave

Fullerton, CA 928312936

Phone: 7146394990

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.