Active NPI
Edwin Herrero
- Physical Therapist
- Diamond Bar, CA
National Provider Identifier
1124439484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 37674
- Practice address
- 830 N Diamond Bar Blvd.
Diamond Bar, CA 91765-1039 - Phone
- (714) 590-0100
- Fax
- (714) 590-0089
- NPI assigned
- May 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 37674 | CA | Primary |
Addresses
Primary practice location
830 N Diamond Bar Blvd.
Diamond Bar, CA 91765-1039
Mailing address
830 N Diamond Bar Blvd.
Diamond Bar, CA 91765-1039
Phone (714) 590-0100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 37674 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1124439484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 N DIAMOND BAR BLVD.",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651039",
"telephone_number": "714-590-0100",
"fax_number": "714-590-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 N DIAMOND BAR BLVD.",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651039",
"telephone_number": "714-590-0100",
"fax_number": "714-590-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERO",
"first_name": "EDWIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 37674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.