Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922165703 Individual Practitioner Male Practitioner

Dr. Douglas L Hendricks , MD

Plastic Surgery • Newport Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Hendricks, MD is a registered healthcare professional specializing in Plastic Surgery in Newport Beach, CA. Practice services are available at 280 NEWPORT CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

280 Newport Center Dr
Suite 120

Newport Beach, CA 926607526

Telephone 9496409570
Fax 9496409569
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Newport Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
48 Specialists

Practicing in Newport Beach, CA (941 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-31
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA G069421

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License CA G069421

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036151135

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1922165703 (WI)
Medicaid State Provider ID
036151135 (IL)

Secondary Practice Locations

7402 E Riverside Blvd

Loves Park, IL 611115630

Phone: 8159713920

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Farzan Rajput , MD

Internal Medicine - Cardiovascular Disease

NPI 1043249808

Doctor of Medicine (M.D.)

Kelly Kim , LAC

Acupuncturist

NPI 1104065523

Licensed Acupuncturist

Dr. Kathleen Nickerson , PhD

Psychologist - Clinical

NPI 1639219694

Doctor of Philosophy (Ph.D.)

NPI 1659496404

Doctor of Dental Surgery

Sarah Kwon

Acupuncturist

NPI 1871813915

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated August 31, 2020

Recorded as DOUGLAS HENDRICKS, MD

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2017

Registered at 280 NEWPORT CENTER DR, SUITE 120, NEWPORT BEACH, CA 926607526 (Tel: 9496409570)

📍
Updated Business Mailing Address February 06, 2017

Registered at 280 NEWPORT CENTER DR, SUITE 120, NEWPORT BEACH, CA 926607526 (Tel: 9496409570)

👤
Provider Name / Credentials Updated February 06, 2017

Recorded as DOUGLAS HENDRICKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Plastic Surgery (License #G069421 in CA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 280 NEWPORT CENTER DR, SUITE 120, NEWPORT BEACH, CA 926607526 (Tel: 9496409570)

📍
Updated Business Mailing Address July 09, 2007

Registered at 280 NEWPORT CENTER DR, SUITE 120, NEWPORT BEACH, CA 926607526 (Tel: 9496409570)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DOUGLAS HENDRICKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Plastic Surgery (License #G069421 in CA)

🟢
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922165703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: August 31, 2020
Sole Proprietor: Yes

Mailing Address

280 Newport Center Dr, Suite 120

Newport Beach, CA 926607526

Phone: 9496409570

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.