Active NPI
Maesperanza So Herrera, PT
- Physical Therapist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30006
- Practice address
- 6400 66TH Ave
Apt.25
Sacramento, CA 95823-2735 - Phone
- (310) 619-8065
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- 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 30006 | CA | Primary |
Addresses
Primary practice location
6400 66TH Ave
Apt.25
Sacramento, CA 95823-2735
Mailing address
6400 66TH Ave
Apt.25
Sacramento, CA 95823-2735
Phone (310) 619-8065
Other names 1
- Maesperanza Baladad So
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1535 River Park Dr
Suite 1000
Sacramento, CA 95815-4601
Phone (916) 286-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30006 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients |
Locations
1535 River Park Dr
Ste 1000
Sacramento, CA 95815
Phone (916) 286-1000
4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700
Organizations & group practices 2
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.
-
dba UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
dba Paris Regional Medical Center
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1144573692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 66TH AVE",
"address_2": "APT.25",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232735",
"telephone_number": "310-619-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 66TH AVE",
"address_2": "APT.25",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232735",
"telephone_number": "310-619-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MAESPERANZA",
"middle_name": "SO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 30006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAESPERANZA",
"last_name": "SO",
"middle_name": "BALADAD",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.