Organization Active NPI

Herculean Babies Pediatrics

  • Primary Care Clinic/Center
  • Hercules, CA
National Provider Identifier
1093049702
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G051091 Issued in CA
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

Updated by the provider on Sep 28, 2009

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.NPI 1801998836
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1045453Herculean Babies Pediatrics500 Alfred Nobel Drive #255a, Hercules, CA 94547Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.