Individual provider Active NPI

Eric Francis Herzog, M.D.

  • Family Medicine Physician
  • Newman, CA
National Provider Identifier
1295795177
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G066400 Issued in CA
Practice address
637 Merced St
Newman, CA 95360-1070
Phone
(209) 722-4842
Fax
(866) 234-5550
NPI assigned
Mar 24, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7071 NV
Family Medicine Physician 207Q00000X G066400 CA Primary

Addresses

Primary practice location

637 Merced St
Newman, CA 95360-1070

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (775) 428-2633

Other identifiers 1

IdentifierTypeStateIssuer
100204363MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101015001155 NV Practitioner - Family Practice 0547453052 Reassigns benefits to 2 organizations
I20140808001509 TX Practitioner - Family Practice 0547453052 Reassigns benefits to 1 organization
I20231013002562 CA Practitioner - Family Practice 0547453052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

1920 Memorial Dr
Ceres, CA 95307-1827
Phone (209) 722-4842

2101 Tenaya Dr
Modesto, CA 95354-3930
Phone (209) 722-4842

3109 E Whitmore Ave
Ceres, CA 95307-2906
Phone (209) 722-4842

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7071NVMDGeneral Practice Dentistry
G066400CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fallon Tribal Health Center CurrentSince Jul 3, 2014 Accepting new patients
Golden Valley Health Centers CurrentSince Nov 13, 2023 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center CurrentSince Nov 13, 2023 Accepting new patients
Humboldt General Hospital Current Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

3109 E Whitmore Ave
Ceres, CA 95307
Phone (209) 541-2929

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

250 Northgate Dr
Ste 102
Manteca, CA 95336
Phone (209) 239-5299

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

1001 Rio Vista Dr
Fallon, NV 89406
Phone (775) 423-3634

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1295795177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "775-428-2633",
            "fax_number": "775-428-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 MERCED ST",
            "city": "NEWMAN",
            "state": "CA",
            "postal_code": "953601070",
            "telephone_number": "209-722-4842",
            "fax_number": "866-234-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "ERIC",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7071",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G066400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100204363",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newman, CA

Sources for this page

Verify at the official NPI Registry.