William F Herrmann DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3248 Issued in CA

Legal business name

WILLIAM F HERRMANN DPM PC

Practice address

234 E 17TH St
Suite #104
Costa Mesa, CA 92627-3825

Phone

(949) 855-4634

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Frederick Herrmann, DPMNPI 1295821288

Title

Owner

Phone

(949) 855-4634

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Frederick Herrmann, DPM

  • Podiatrist
  • Costa Mesa, CA
  • NPI 1295821288
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1295821262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11599",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926270599",
            "telephone_number": "949-855-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 17TH ST",
            "address_2": "SUITE #104",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273825",
            "telephone_number": "949-855-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F HERRMANN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-855-4634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480010316",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie R. Wilfert, MFT
• Lynnette Marie Wilhardt, LCSW
• Ryli Lauren Wilkerson I
• Elizabeth Wilkins, RBT
• Steven Will, MFTI
• Alisha Williams
• Daniel Williams
• Hannah Prentiss Williams
• Jessica Elizabeth Williams
• John Brandon Williams

• Podiatrist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.