Active NPI
Carmen E. Hering, D.O.
- Electrodiagnostic Medicine Physician
- Albany, CA
National Provider Identifier
1407256993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electrodiagnostic Medicine Physician
- License
- 20A9573
- Practice address
- 902 Santa Fe Avenue
Albany, CA 94706 - Phone
- (510) 526-5256
- Fax
- (510) 526-5547
- NPI assigned
- Sep 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | 20A9573 | CA | Primary |
Addresses
Primary practice location
902 Santa Fe Avenue
Albany, CA 94706
Mailing address
902 Santa Fe Avenue
Albany, CA 94706
Phone (510) 526-5256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2017 through Feb 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9573 | CA | MD | Electrodiagnostic Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1407256993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 SANTA FE AVENUE",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-526-5256",
"fax_number": "510-526-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 SANTA FE AVENUE",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-526-5256",
"fax_number": "510-526-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERING",
"first_name": "CARMEN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "CA",
"license": "20A9573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.