Active NPI
Gary Allen Herfindahl, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Mount Shasta, CA
National Provider Identifier
1336164771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- G51667
- Practice address
- 908 Pine St
Mount Shasta, CA 96067-2143 - Phone
- (530) 926-3161
- Fax
- (530) 926-0406
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | G51667 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G51667 | CA | Primary |
| Surgery Physician | 208600000X | G51667 | CA |
Addresses
Primary practice location
908 Pine St
Mount Shasta, CA 96067-2143
Mailing address
908 Pine St
Mount Shasta, CA 96067-2143
Phone (530) 926-3161
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G516670 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 172614 | Medicaid | OR | |
| 00G516670 | Medicaid | CA | |
| 0662956 | Other | SC | CHAMPUS |
| G51667 | Other | CA | BLUE CROSS OF CALIFORNIA |
| 00G516670 | Other | CA | CALIF CHILDREN'S SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336164771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 PINE ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672143",
"telephone_number": "530-926-3161",
"fax_number": "530-926-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 PINE ST",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672143",
"telephone_number": "530-926-3161",
"fax_number": "530-926-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERFINDAHL",
"first_name": "GARY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "G51667",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G51667",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G51667",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "00G516670",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172614",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G516670",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "0662956",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "G51667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF CHILDREN'S SERVICES",
"identifier": "00G516670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.