Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henderson Surgical Physician Assistant

Organization Surgical Physician Assistant · NPI 1982129342

Henderson Surgical Physician Assistant is a Surgical Physician Assistant in Riverside, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 443-9606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 51407 (CA)

Record details

NPI number1982129342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sofia Henderson — President · (951) 443-9606
NPI enumeratedAugust 7, 2017
Last updated in NPPESAugust 7, 2017
Mailing address12625 Frederick St # I5215, Moreno Valley, CA 92553-5216

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