George Howard Herzog, RN, CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

4606 Issued in CA

Practice address

4150 Clement St G1-111B1
San Francisco, CA 94121

Phone

(415) 221-4810

NPI assigned

Feb 5, 2018

Last updated

Feb 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1245739283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PALISADES DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154511",
            "telephone_number": "415-516-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST G1-111B1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94121",
            "telephone_number": "415-221-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "GEORGE",
        "middle_name": "HOWARD",
        "credential": "RN, CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "4606",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CA",
            "license": "4606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING CLINICAL NURSE SPECIALIST",
            "identifier": "4606",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC ADULT-GERONTOLOGY CNS CERTIFICATION",
            "identifier": "2016008577",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING REGISTERED NURSE",
            "identifier": "493597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Level Hervey-Jumper, M.D.
• Robert P Herwick Jr., MD
• Akos Herzeg, MD
• Jeff Herzenberg
• Nancy Herzoff
• Jeremy D Herzog
• Kristine Herzog, MFTI
• Marina Joan Heskel, MD
• Ted Wayne Heskett Jr., R.D.O.
• Mark Andrew Heslip, D.C.

• Adult Health Clinical Nurse Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Adult Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.