Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE TARLETON HENDERSON, M.D.
Active Sole ProprietorDR. BLAKE TARLETON HENDERSON, M.D. is a Student (Health Education/Training) healthcare provider located in SAN FRANCISCO, California. NPI 1992064893 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · SAN FRANCISCO, CA
Registration Details
- NPI Number
- 1992064893
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2012 (14.268940717372 yrs)
- Last Updated
- Feb 11, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2425 GEARY BLVD # M160SAN FRANCISCO, CA, 941153358Browse CA providers · Browse ZIP 94115
- Phone
- 9165216062
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in SAN FRANCISCO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MOLLY W. LUCIER | ACSW | 1174608327 |
| EUN JUNG SHIM | — | 1861562258 |
| ABBY JANDRO | B.S. | 1669532990 |
| MATTHEW GABRIEL SANTANA | M.A.C. | 1386706158 |
| MS. HEIDI SARA MELBOSTAD | — | 1366506321 |
| MS. EVA SZABO | — | 1669537429 |
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.