George Herron, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G10082 Issued in CA

Practice address

1610 N El Dorado St
Suite 17
Stockton, CA 95204-5930

Phone

(209) 465-5107

Fax

(209) 465-7653

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Dameron Hospital Association

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1538163886
  NPD (past)
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  NPD (past)
• Stockton Nephrology, Inc.

  • Nephrology Physician
  • Stockton, CA
  • NPI 1790110880
  NPD (past)
• St. Joseph'S Hospital, Yonkers

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1336236629
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1144217654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N EL DORADO ST",
            "address_2": "SUITE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045930",
            "telephone_number": "209-465-5107",
            "fax_number": "209-465-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N EL DORADO ST",
            "address_2": "SUITE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045930",
            "telephone_number": "209-465-5107",
            "fax_number": "209-465-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G10082",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G10082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G100820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Herrera, O.D.
• Vanessa Herrera
• Kara Michele Herrick, LMFT
• Alexis Herrington
• Randolph G Herrington, MFTI
• Rita Herron
• Louis E Herzog, NURSE PRACTITIONER
• Marc Heslop, RADT
• Weldon R Hess, DPM
• Rayanna Rachelle Hester

• Nephrology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.