Individual provider Active NPI

Ronald Paul Garcia-Herrera, PA-C

  • Medical Physician Assistant
  • Los Banos, CA
National Provider Identifier
1124127659
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
12100 Issued in CA
Practice address
285 Mercey Springs Rd
Los Banos, CA 93635-3878
Phone
(209) 829-0444
Fax
(209) 829-0445
NPI assigned
Sep 21, 2006
Last updated
Dec 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 12100 CA Primary

Addresses

Primary practice location

285 Mercey Springs Rd
Los Banos, CA 93635-3878

Mailing address

4 Rossi Cir
Suite 141
Salinas, CA 93907-2362
Phone (831) 757-4444

Other names 1

  • Mrs. Ronald Paul Herrera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12100CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1124127659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSSI CIR",
            "address_2": "SUITE 141",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939072362",
            "telephone_number": "831-757-4444",
            "fax_number": "831-757-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MERCEY SPRINGS RD",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353878",
            "telephone_number": "209-829-0444",
            "fax_number": "209-829-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-HERRERA",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "12100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "HERRERA",
            "middle_name": "PAUL",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.