Dr. Virginia Hernly

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC15946 Issued in CA

Legal business name

DR. VIRGINIA HERNLY

Practice address

205 E 3Rd Ave Ste 406
San Mateo, CA 94401-4050

Phone

(650) 347-4443

Fax

(650) 347-5783

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Virginia L Hernly, D.C.NPI 1467471151

Title

Owner/Chiropractic

Phone

(650) 347-4443

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia L Hernly, DC, CCSP

  • Sports Physician Chiropractor
  • San Mateo, CA
  • NPI 1467471151
  NPD (past) Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1417202078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE STE 406",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014050",
            "telephone_number": "650-347-4443",
            "fax_number": "650-347-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE STE 406",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014050",
            "telephone_number": "650-347-4443",
            "fax_number": "650-347-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VIRGINIA HERNLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "HERNLY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC",
        "authorized_official_telephone_number": "650-347-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC15946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1467471151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.