Active NPI
Rudy B Herrera, DC, FNP
- Family Nurse Practitioner
- Wasco, CA
National Provider Identifier
1336119684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1212429
- Practice address
- 1217 7TH St
Wasco, CA 93280-1820 - Phone
- (661) 725-5500
- NPI assigned
- Jan 26, 2006
- Last updated
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1212429 | CA | Primary |
| Chiropractor | 111N00000X | DC21359 | CA |
Addresses
Primary practice location
1217 7TH St
Wasco, CA 93280-1820
Mailing address
5397 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (661) 634-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1212429 | Other | CA | FNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151116001109 | CA | Practitioner - Chiropractic | 4183679368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC21359 | CA | MD | Chiropractor |
| 21359 | CA | MD | Speech-Language Pathologist |
| F1212429 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- rudy.herrera@baihp.directbygreenway.com
Organizations & group practices 3
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.
-
- Chiropractor
- Delano, CA
- NPI 1629341409
-
- Chiropractor
- Bakersfield, CA
- NPI 1972510949
-
dba Bakersfield Memorial Hospital Pharmacy
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1336119684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5397 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090641",
"telephone_number": "661-634-9900",
"fax_number": "661-634-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 7TH ST",
"city": "WASCO",
"state": "CA",
"postal_code": "932801820",
"telephone_number": "661-725-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "RUDY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC, FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "F1212429",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC21359",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP",
"identifier": "F1212429",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wasco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.