Malia Pearl Henderson, AUD
NPI 1790557304ActiveIndividual· Audiologist· San Luis Obispo, CA
Audiologist (AUD) with M K Larson Audiology Inc, practicing in San Luis Obispo, California. Medicare paid $1,455 for services to 25 patients in 2024.
Overview
| NPI | 1790557304 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | Yes |
| NPI issued | Oct 26, 2023 |
| Last updated in NPPES | Sep 1, 2026 |
| Certified by provider | Sep 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 3833 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Otolaryngology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 54 across 6 procedure codes |
| Paid by Medicare | $1,455 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Otolaryngology |
Medical group
- M K Larson Audiology IncSan Luis Obispo, CA · 2 clinicians
Other audiologists in San Luis Obispo
- 1023425337
- 1063124527
- 1093957870
- 1386087872
- 1659820124
- 1669019121
- 1992620017
- 1871101527