Active NPI
Sara Cristy Herman, MD
- Anesthesiology Physician
- Menlo Park, CA
National Provider Identifier
1407027196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A121029
- Practice address
- 825 Oak Grove Ave Ste A101
Menlo Park, CA 94025-4427 - Phone
- (650) 419-3330
- NPI assigned
- Mar 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 390200000X | MA | |
| Anesthesiology Physician | 207L00000X | MD206244 | OR | |
| Anesthesiology Physician | 207L00000X | 7460483 | NY | |
| Anesthesiology Physician | 207L00000X | A121029 | CA | Primary |
Addresses
Primary practice location
825 Oak Grove Ave Ste A101
Menlo Park, CA 94025-4427
Mailing address
825 Oak Grove Ave Ste A101
Menlo Park, CA 94025-4427
Phone (650) 419-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121029 | CA | MD | Anesthesiology Physician |
| 7460483 | NY | MD | Anesthesiology Physician |
| MD206244 | OR | MD | Anesthesiology Physician |
| 390200000X | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herman Rus Medical Professional Corporation | Current | Accepting new patients |
Locations
825 Oak Grove Ave
Ste A101
Menlo Park, CA 94025
Phone (415) 321-1916
Interoperability endpoints
- sherman5999@icare.elcaminohospital.org
Organizations & group practices 1
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.
-
- Clinic/Center
- Menlo Park, CA
- NPI 1174115000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1407027196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 OAK GROVE AVE STE A101",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254427",
"telephone_number": "650-419-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OAK GROVE AVE STE A101",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254427",
"telephone_number": "650-419-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "SARA",
"middle_name": "CRISTY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "390200000X",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD206244",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "7460483",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A121029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.