Veronica Heredia, MD, a Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A73219 Issued in CA

Legal business name

VERONICA HEREDIA, MD, A MEDICAL CORPORATION

Practice address

2016 Forest Ave
Suite # 7
San Jose, CA 95128-4804

Phone

(408) 289-8410

Fax

(408) 289-8507

NPI assigned

May 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Veronica Heredia, MDNPI 1457538860

Title

Physician

Phone

(408) 289-8410

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Heredia, MD

  • Pediatrics Physician
  • San Jose, CA
  • NPI 1457538860
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1093773079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 FOREST AVE",
            "address_2": "SUITE # 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284804",
            "telephone_number": "408-289-8410",
            "fax_number": "408-289-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 FOREST AVE",
            "address_2": "SUITE # 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284804",
            "telephone_number": "408-289-8410",
            "fax_number": "408-289-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONICA HEREDIA, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "HEREDIA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-289-8410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A73219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A732190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Josee Vermeersch
• Annamarie Vermeulen
• Marianne Tougas Vernacchia, MA
• Nicholas Thomas Vernon
• Tiffany Tamarla Vernon
• Veronica Rivera
• Veronica Rivera MD Inc
• Veronica Wagner Inc
• Emmaline Soleil Veronica, RBT
• Melinda Fike Vertin, NP

• Pediatrics Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.