Jeffrey Harold Herz, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G30050 Issued in CA

Practice address

39000 Bob Hope Dr
Kiewit BLDG. Ste. 401
Rancho Mirage, CA 92270-3221

Phone

(760) 346-1882

Fax

(760) 346-1742

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Associates Corporation

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1003866120

  CA

  Medicare reassignment NPD
• Halo Medical Group

  • Diagnostic Radiology Physician
  • Indian Wells, CA
  • NPI 1467506451

  CA, Urology

  Medicare reassignment NPD
• Desert Advanced Imaging Medical Center

  • Diagnostic Radiology Physician
  • Palm Desert, CA
  • NPI 1568416147
  NPD (past)
• Desert Medical Imaging, a Medical Corporation

  • Specialist
  • Indian Wells, CA
  • NPI 1811996747
  NPD (past)
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1124091772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "KIEWIT BLDG. STE. 401",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-1882",
            "fax_number": "760-346-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "KIEWIT BLDG. STE. 401",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-346-1882",
            "fax_number": "760-346-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZ",
        "first_name": "JEFFREY",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G30050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "00G300501",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G300501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Guadalupe Hernandez
• Abbie Gail Herndon, OT
• James Datson Herndon, PA-C
• Bruno S Herrera, PHD
• Rodrigo Herreros, M.D.
• Amy Hetherington, NP
• Michael Jared Hetzel
• Kristen Lynne Hickok, FNP-BC
• Christopher Raymond Hicks, M.D.
• Frank Hill

• All providers in Rancho Mirage, CA
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.