Active NPI
Herman Rus Medical Professional Corporation
- Clinic/Center
- Menlo Park, CA
National Provider Identifier
1174115000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HERMAN RUS MEDICAL PROFESSIONAL CORPORATION
- Doing business as
- Soft Reboot Wellness
- Practice address
- 825 Oak Grove Ave Ste A101
Menlo Park, CA 94025-4427 - Phone
- (650) 419-3330
- NPI assigned
- Feb 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sara C Herman, MD
- Title
- Owner
- Phone
- (650) 419-3330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
825 Oak Grove Ave Ste A101
Menlo Park, CA 94025-4427
Mailing address
825 Oak Grove Ave Ste A101
Menlo Park, CA 94025-4427
Phone (650) 419-3330
Other names 1
- Soft Reboot Wellness
National Provider Directory
National Provider DirectoryLocations
825 Oak Grove Ave
Ste A101
Menlo Park, CA 94025
Phone (415) 321-1916
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Menlo Park, CA
- NPI 1407027196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637625600000",
"number": "1174115000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 OAK GROVE AVE STE A101",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254427",
"telephone_number": "650-419-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OAK GROVE AVE STE A101",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254427",
"telephone_number": "650-419-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERMAN RUS MEDICAL PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-11",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-419-3330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Soft Reboot Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.