Individual provider Active NPI

Herman A Carstens, M.D.

  • Obstetrics & Gynecology Physician
  • Bloomington, CA
National Provider Identifier
1386611242
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A34747 Issued in CA
Practice address
18601 Valley Blvd
Bloomington, CA 92316-1831
Phone
(909) 546-7560
Fax
(909) 546-1091
NPI assigned
Feb 28, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A34747 CA Primary

Addresses

Primary practice location

18601 Valley Blvd
Bloomington, CA 92316-1831

Mailing address

21801 Alessandro Blvd
Moreno Valley, CA 92553-8202
Phone (951) 571-2300

Other practice location 1

231 E Alessandro Blvd # A684
Riverside, CA 92508-5084
Phone (951) 743-5439

Other identifiers 1

IdentifierTypeStateIssuer
00A347471MedicaidCA

Other names 1

  • Herman A Carstens Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150211001221 CA Practitioner - Obstetrics/Gynecology 5799000931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 7012824717, 13 clinicians

Practice addresses (Care Compare)

18601 Valley Blvd
Bloomington, CA 92316-1831
Phone (909) 546-7560

18651 Valley Blvd
Bloomington, CA 92316-1831
Phone (909) 546-7520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34747CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Oct 25, 2024 Accepting new patients

Locations

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

22675 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

Interoperability endpoints

  • Direct secure messaging: herman.carstens.p1@direct.chsica.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1386611242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21801 ALESSANDRO BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538202",
            "telephone_number": "951-571-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 VALLEY BLVD",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923161831",
            "telephone_number": "909-546-7560",
            "fax_number": "909-546-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Alessandro Blvd # A684",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925085084",
            "country_code": "US",
            "telephone_number": "951-743-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSTENS",
        "first_name": "HERMAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A34747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A347471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMAN",
            "last_name": "CARSTENS",
            "middle_name": "A",
            "credential": "MD CLINIC OB-GYN PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomington, CA

Sources for this page

Verify at the official NPI Registry.