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Robert Stephen Hendricks

Peer Specialist β€’ Oceanside, CA

Active NPI 1720677982 Individual Practitioner Male Practitioner
Practice location in NPPES

3552 Santa Maria St
Oceanside, CA 920563905

Call 7609172657 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

3552 Santa Maria St

Oceanside, CA 920563905

Telephone 7609172657
Organization at the Same NPPES Address or Phone
Crf Facility NPI 1194071142

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

NPI first issued

2021

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, β€œDoes 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 Oceanside and California

30 active clinicians are listed under Peer Specialist with a practice address in Oceanside, CA (4,535 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Oceanside

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-27
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

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

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address January 24, 2024

Registered at 1738 S TREMONT ST, OCEANSIDE, CA 920545309 (Tel: 7604392800)

βœ…
NPI Profile Active January 13, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 13, 2021

Registered at 3552 SANTA MARIA ST, OCEANSIDE, CA 920563905 (Tel: 7609172657)

πŸ“
Business Mailing Address (Initial Record) January 13, 2021

Registered at 3552 SANTA MARIA ST, OCEANSIDE, CA 920563905 (Tel: 7609172657)

πŸ‘€
Provider Name / Credentials (Initial Record) January 13, 2021

Recorded as ROBERT HENDRICKS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2021

Counselor

🟒
Initial NPI Registration & Enumeration January 13, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720677982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2021
Last Update: January 24, 2024
Sole Proprietor: Yes

Mailing Address

1738 S Tremont St

Oceanside, CA 920545309

Phone: 7604392800

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.