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

Charles Henderson, PA-C

Individual provider Medical Physician Assistant · NPI 1700665536

Charles Henderson, PA-C is a Medical Physician Assistant in Upland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1230 E Arrow Hwy
Upland, CA 91786-4910
Phone: (626) 807-8545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA63215 (CA)

Record details

NPI number1700665536
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 21, 2023
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

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