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

Kyle Henderson

Individual provider Physician Assistant · NPI 1134547599

Kyle Henderson is a Physician Assistant in San Ramon, California. Qualified in 2012, 14 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

200 Porter Dr Ste 215
San Ramon, CA 94583-1587
Phone: (925) 362-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 51492 (CA)

Record details

NPI number1134547599
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2014
Last updated in NPPESFebruary 11, 2022
Mailing address200 Porter Dr, Suite 215, San Ramon, CA 94583-1587

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Ramon