Individual provider Active NPI

Frederick J. Hering

  • Physician Assistant
  • Crescent City, CA
National Provider Identifier
1215040977
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15264 Issued in CA
Practice address
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone
(469) 247-1977
Fax
(530) 224-2731
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15264 CA Primary

Addresses

Primary practice location

800 E Washington Blvd
Crescent City, CA 95531-8359

Mailing address

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (469) 247-1977

Other identifiers 1

IdentifierTypeStateIssuer
PA15264MedicaidCA

Other names 1

  • Fred J. Hering Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061030000298 CA Practitioner - Physician Assistant 0840297123 Reassigns benefits to 12 organizations
I20240910000465 TX Practitioner - Physician Assistant 0840297123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15264CAMDPhysician Assistant
15264CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Jul 25, 2025 Accepting new patients
County of Santa Clara CurrentSince Jun 27, 2018 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 26, 2024 Accepting new patients
County of Santa Clara CurrentSince Jun 27, 2018 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Aug 20, 2025 Accepting new patients
Cardinal Emergency Providers Professional Corporation Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Aug 20, 2025 Accepting new patients
Vepema Medical Group Emergency Medicine Past Accepting new patients
Cep America - California Emergency Medicine Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Interoperability endpoints

  • Direct secure messaging: fhering224378@hisp.ehr.sutterhealth.org

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1215040977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E WASHINGTON BLVD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318359",
            "telephone_number": "469-247-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WASHINGTON BLVD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318359",
            "telephone_number": "469-247-1977",
            "fax_number": "530-224-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERING",
        "first_name": "FREDERICK",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA15264",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "HERING",
            "middle_name": "J.",
            "credential": "P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Crescent City, CA

Sources for this page

Verify at the official NPI Registry.