Active NPI
Herculean Babies Pediatrics
- Primary Care Clinic/Center
- Hercules, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- G051091
- Legal business name
- HERCULEAN BABIES PEDIATRICS
- Practice address
- 500 Alfred Nobel Dr Ste 255a
Hercules, CA 94547-1843 - Phone
- (510) 964-9647
- NPI assigned
- Sep 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Pedro Enz, M.D.
- Title
- Owner
- Phone
- (510) 964-9647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | G051091 | CA | Primary |
Addresses
Primary practice location
500 Alfred Nobel Dr Ste 255a
Hercules, CA 94547-1843
Mailing address
500 Alfred Nobel Dr Ste 255a
Hercules, CA 94547-1843
Phone (510) 964-9647
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1045453 | Herculean Babies Pediatrics | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
500 Alfred Nobel Dr
Ste 255A
Hercules, CA 94547
Phone (510) 964-9647
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Hercules, CA
- NPI 1801998836
-
- Pediatrics Physician
- Hercules, CA
- NPI 1710039607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254096000000",
"number": "1093049702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALFRED NOBEL DR STE 255A",
"city": "HERCULES",
"state": "CA",
"postal_code": "945471843",
"telephone_number": "510-964-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALFRED NOBEL DR STE 255A",
"city": "HERCULES",
"state": "CA",
"postal_code": "945471843",
"telephone_number": "510-964-9647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERCULEAN BABIES PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-28",
"last_updated": "2009-09-28",
"status": "A",
"authorized_official_last_name": "ENZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "PEDRO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-964-9647",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "G051091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hercules, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.