Larry D Herron MD Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G25538 Issued in CA

Legal business name

LARRY D HERRON MD INC

Practice address

1304 Ella St Ste B
San Luis Obispo, CA 93401-4166

Phone

(805) 541-4700

Fax

(805) 541-4713

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry Donald Herron, MD

Title

President

Phone

(805) 541-4700

Specialties & licenses 1

Addresses

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.

• Kenneth Leslie Baldwin, MD

  • Orthopaedic Surgery Physician
  • San Luis Obispo, CA
  • NPI 1174549570
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1306035902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014166",
            "telephone_number": "805-541-4700",
            "fax_number": "805-541-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014166",
            "telephone_number": "805-541-4700",
            "fax_number": "805-541-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D HERRON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-541-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G25538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Diane Lankes, COTA
• Daniel Ethan Lapidus, D.D.S
• Paige Morgan Lapp
• Joel A Lardizabal, M.D.
• Bradley Larose
• Larry Galpert, PHD
• Larry V Smith DDS Inc
• Jana Cai Larsen
• Karen Lubetha Larson, LPT
• Megan K Larson, A.U.D

• Orthopaedic Surgery Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.