Individual provider Active NPI

Humberto Herrera, M.D.

  • General Practice Physician
  • Huntington Park, CA
National Provider Identifier
1174543326
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A45767 Issued in CA
Practice address
7128 Seville Ave
Huntington Park, CA 90255-4906
Phone
(323) 588-2186
Fax
(323) 588-0422
NPI assigned
Jul 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A45767 CA Primary

Addresses

Primary practice location

7128 Seville Ave
Huntington Park, CA 90255-4906

Mailing address

PO Box 11373
Burbank, CA 91510-1373
Phone (323) 588-2186

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090602000067 CA Practitioner - General Practice 1254480833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis a. Galdamez, MD Inc.Group PAC ID 7810955655, 6 clinicians

Practice addresses (Care Compare)

2955 E Florence Ave
Huntington Park, CA 90255-5836
Phone (323) 585-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45967CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A45767CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a. Galdamez, MD Inc. General Practice CurrentSince Jan 19, 2009 Accepting new patients
Luis a. Galdamez, MD Inc. General Practice CurrentSince Jan 19, 2009 Accepting new patients
Van Dinh Nguyen Medical Corp. General Practice PastSince Nov 1, 1997 Accepting new patients
Jose Torreblanca MD Inc. General Practice PastSince Jun 1, 2018 Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

2955 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 585-0732

6831 Seville Ave
Huntington Pk, CA 90255
Phone (323) 581-8234

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174543326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11373",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915101373",
            "telephone_number": "323-588-2186",
            "fax_number": "323-588-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554906",
            "telephone_number": "323-588-2186",
            "fax_number": "323-588-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "HUMBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A45767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.