Active NPI
Cindy Herrera
- Community Health Worker
- Rancho Cucamonga, CA
National Provider Identifier
1417711771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 1447847207
- Practice address
- 10801 6TH St Ste 120
Rancho Cucamonga, CA 91730-5987 - Phone
- (951) 490-3568
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 1447847207 | CA | Primary |
Addresses
Primary practice location
10801 6TH St Ste 120
Rancho Cucamonga, CA 91730-5987
Mailing address
27838 Adams Ave
Menifee, CA 92585-9434
Phone (951) 490-3568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1447847207 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1417711771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27838 ADAMS AVE",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925859434",
"telephone_number": "951-490-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 6TH ST STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305987",
"telephone_number": "951-490-3568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "CINDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "1447847207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.