Individual provider Active NPI

John Louis Herbert, MD

  • Psychiatry Physician
  • Redwood City, CA
National Provider Identifier
1396775870
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G66335 Issued in CA
Practice address
802 Brewster Ave
Redwood City, CA 94063-1510
Phone
(650) 363-4111
Fax
(650) 364-6927
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G66335 CA Primary

Addresses

Primary practice location

802 Brewster Ave
Redwood City, CA 94063-1510

Mailing address

802 Brewster Ave
Redwood City, CA 94063-1510
Phone (650) 363-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000235 CA Practitioner - Psychiatry 4880879014 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66335CAMDMental Health Counselor
G66335CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo County CurrentSince Feb 16, 2011 Accepting new patients
County of San Mateo Current Accepting new patients
University of California SFGH Medical Group Psychiatry CurrentSince Apr 15, 2012 Accepting new patients
County of San Mateo CurrentSince May 15, 2018 Accepting new patients
University of California SFGH Medical Group CurrentSince Apr 15, 2012 Accepting new patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Feb 16, 2011 Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8650

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

1001 Potrero Ave
Rm 7M
San Francisco, CA 94110
Phone (415) 206-5612

1001 Potrero Ave
#7M30
San Francisco, CA 94110
Phone (415) 206-5212

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

Interoperability endpoints

  • Direct secure messaging: jherbert19309@smch.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1396775870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BREWSTER AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631510",
            "telephone_number": "650-363-4111",
            "fax_number": "650-364-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BREWSTER AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631510",
            "telephone_number": "650-363-4111",
            "fax_number": "650-364-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G66335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.