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

Rebecca Karin Henson

Individual provider Registered Nurse · NPI 1417780966

Rebecca Karin Henson is a Nurse Practitioner in Beverly Hills, California. Qualified in 2024, 2 years ago. Practices with Bobby Pourziaee D P M Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

415 N Crescent Dr Ste 340
Beverly Hills, CA 90210-4884
Phone: (562) 382-4763
Fax: (310) 388-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F07241388 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95110213 (CA)

Record details

NPI number1417780966
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bobby Pourziaee D P M Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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