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

ED Jerald Hendricks, MD

Individual provider Obesity Medicine (Internal Medicine) Physician · NPI 1700220092

ED Jerald Hendricks, MD is an Obesity Medicine (Internal Medicine) Physician in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2510 Douglas Blvd Ste 200
Roseville, CA 95661-3300 Not confirmed with CMS for 13 years — call before visiting
Phone: (916) 773-1191
Fax: (916) 773-0498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Internal Medicine) Physician (primary) Taxonomy 207RB0002X · Licence G22146 (CA)

Record details

NPI number1700220092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2013
Last updated in NPPESApril 17, 2013

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