Jan Ellen Hershenhouse, DVM
Individual provider Active NPI Veterinarian · Loomis, CA
NPI 1376965111 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1376965111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Veterinarian 174M00000X
- License
- 5828 (CA)
- Practice address
- 7351 Rancho Verde LN
Loomis, CA 95650-8524 - Phone
- (916) 652-5519
- Fax
- (916) 652-5519
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 5828 | CA | Yes |
Addresses
Primary practice location
7351 Rancho Verde LN
Loomis, CA 95650-8524
Mailing address
7351 Rancho Verde LN
Loomis, CA 95650-8524
Phone (916) 652-5519
Other providers in Loomis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.