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

Dr. Jefferson C Hendrix, MD

Individual provider Family Medicine Physician · NPI 1235142738

Dr. Jefferson C Hendrix, MD is a Family Practice in San Ysidro, California. Qualified in 1976, 50 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
50
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4004 Beyer Blvd
San Ysidro, CA 92173-2007
Phone: (619) 428-4463
Fax: (619) 428-2625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A32571 (CA)

Record details

NPI number1235142738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4004 Beyer Blvd, San Ysidro, CA 92173-2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in San Ysidro