MICHAEL A HERRERA (NPI# 1104910744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104910744 |
| Entity Type | Individual |
| Full Name | MICHAEL A HERRERA |
| Credential | DO |
| Practice Address |
1800 No California Street Stockton CA 95204-0000 |
| Mailing Address |
3116 W March Lane Suite 200 Stockton CA 95219-2370 |
| Practice Telephone | 2094736555 |
| Practice Fax Number | 2094736544 |
| Mailing Telephone | 2094736555 |
| Mailing Fax Number | 2094736544 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
20A6617 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OSTEOPATHIC CA LICENSE | 20A6617 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073943924 | Michael Herrera | Case Management | 159-70 Harlem River Dr Apt 2g, New York, NY 10039-1030 | 2013-11-13 |
| 1245387281 | Michael James Herrera | Dentist | 267 Brinkby Ave, Reno, NV 89509-4354 | 2007-01-04 |
| 1205828233 | Michael Dennis Herrera | Optometrist | 2019 Galisteo St. Ste. G5, Galisteo Center, Santa Fe, NM 87505-2164 | 2005-08-16 |
| 1326509522 | Michael Andres Herrera | Student in an Organized Health Care Education/Training Program | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2019-03-29 |
| 1699223115 | Michael Herrera | Physical Therapist | 201 N Robertson Blvd, 101, Beverly Hills, CA 90211-1729 | 2016-09-13 |
| 1033478714 | Michael F Herrera | Radiologic Technologist | 601 Rockmead Drive, Kingwood, TX 77339 | 2012-05-15 |
| 1750524385 | Michael William Herrera | Marriage & Family Therapist | 812 W Town and Country Rd, Orange, CA 92868-4712 | 2009-04-13 |
| 1871610774 | Michael Herrera | Family Medicine | 1489 S Higley Rd, Suite 101, Gilbert, AZ 85296-4776 | 2007-03-23 |
| Street Address |
1800 NO CALIFORNIA STREET |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182338 | Ernest R Almendarez | Emergency Medicine | 1800 No California Street, Stockton, CA 95204-0000 | 2006-10-02 |
| 1033204490 | Ellison H Cordray | Emergency Medicine | 1800 No California Street, Stockton, CA 95204-0000 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182338 | Ernest R Almendarez | Emergency Medicine | 1800 No California Street, Stockton, CA 95204-0000 | 2006-10-02 |
| 1902959216 | Rick Reisman | Emergency Medicine | 3116 W March Ln, Ste 200, Stockton, CA 95219-2369 | 2007-01-19 |
| 1548313877 | Eric Sterling | Emergency Medicine | 3116 W March Ln, Ste 200, Stockton, CA 95219-2369 | 2007-01-19 |
| 1033204490 | Ellison H Cordray | Emergency Medicine | 1800 No California Street, Stockton, CA 95204-0000 | 2006-10-03 |
| 1306944723 | Alvaro R Garay | Emergency Medicine | 1800 N California St, Stockton, CA 95204-6019 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.