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

Mr. Jacob Lawrance Henson

Individual provider Transplant Surgery Physician · NPI 1689370405

Mr. Jacob Lawrance Henson is a Nurse Practitioner in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with The Regents of the University of California, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-4228
Phone: (310) 301-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95018746 (CA)
Transplant Surgery Physician Taxonomy 204F00000X · Licence 95018746 (CA)

Record details

NPI number1689370405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Regents Of The University Of California — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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