Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY A HENDRICKSON, M.D.
ActiveJAY A HENDRICKSON, M.D. is a Interventional Vascular Surgery healthcare provider located in ROSEVILLE, California. NPI 1457304016 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · ROSEVILLE, CA
Registration Details
- NPI Number
- 1457304016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.270189129158 yrs)
- Last Updated
- Dec 12, 2023
- License
-
G83722 (CA)
Practice Information
- Address
-
729 SUNRISE AVE STE 602ROSEVILLE, CA, 956614542Browse CA providers · Browse ZIP 95661
- Phone
- 9169537571
- Fax
- 9167718515
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.