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

Individual provider MOHS-Micrographic Surgery Physician · NPI 1619109519

Gregory Philip Henderson, MD is a Dermatology in Newport Beach, California. Graduated from University of Southern California Keck School of Medicine in 2009, 17 years ago. Practices with Csi Medical Group, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2009
Specialties on file
2
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

1441 Avocado Ave Ste 409
Newport Beach, CA 92660-7705
Phone: (949) 640-4501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1360 W 6th St Ste 270, San Pedro, CA 90732-3539 — (310) 831-1272

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence A125261 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence A125261 (CA)

Record details

NPI number1619109519
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Csi Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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