Phillip Robert Hersh, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

33086 Issued in CA

Practice address

1500 Adams Ave Ste 201
Costa Mesa, CA 92626-3818

Phone

(657) 900-2476

NPI assigned

Feb 6, 2015

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

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
• HI PPO

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.

• Family and Sports Chiropractic Center Inc

  • Chiropractor
  • Mililani, HI
  • NPI 1568896546
  Medicare reassignment NPD
• Kahala Chiropractic Inc

  • Chiropractor
  • Aiea, HI
  • NPI 1245814227
  NPD (past)

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1154712529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ADAMS AVE STE 201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263818",
            "telephone_number": "657-900-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ADAMS AVE STE 201",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263818",
            "telephone_number": "657-900-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "PHILLIP",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "33086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanna Angela Herrera
• Robert Joseph Herried, DDS
• Nicole Herriott, FNP
• William Frederick Herrmann, DPM
• Megan Hersh, DPT
• Samantha Eunelva Hess
• Hetata & Alkhateeb Dental Corp
• Maha Hetata, D.D.S.
• Hhcsc Inc
• Novella Hicks, MSW

• Sports Physician Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.