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John Henderson

NPI 1114732583ActiveIndividual· Community Health Worker· Berkeley, CA

Community Health Worker in Berkeley, California, with an NPI issued in February 2025.

Overview

NPI1114732583
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedFeb 11, 2025
Last updated in NPPESFeb 11, 2025
Certified by providerFeb 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Community Health Worker Primary172V00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Community Health Worker providers in Berkeley

All 52 Community Health Worker providers in Berkeley · All Community Health Worker providers in California