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

ED Jerald Hendricks, MD

Individual provider Obesity Medicine (Internal Medicine) Physician · NPI 1700220092

ED Jerald Hendricks, MD is an Obesity Medicine (Internal Medicine) Physician in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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

2510 Douglas Blvd Ste 200
Roseville, CA 95661-3300
Phone: (916) 773-1191
Fax: (916) 773-0498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Internal Medicine) Physician (primary) Taxonomy 207RB0002X · Licence G22146 (CA)

Record details

NPI number1700220092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2013
Last updated in NPPESApril 17, 2013
Mailing address2510 Douglas Blvd, Suite 200, Roseville, CA 95661-3300

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