Active NPI
Herman A Carstens, M.D.
- Obstetrics & Gynecology Physician
- Bloomington, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A34747
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A347471 | Medicaid | CA |
Other names 1
- Herman A Carstens
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A34747 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Systems, Inc. | Current | 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
- 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.
-
dba Inland Empire Community Health Center
- Federally Qualified Health Center (FQHC)
- Bloomington, CA
- NPI 1952308009
-
dba Magnolia Community Health Center
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1548538911
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.