Individual provider Active NPI

Robert P Herwick Jr., MD

  • Specialist
  • San Francisco, CA
National Provider Identifier
1437236452
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G16902 Issued in CA
Practice address
490 Post Street
#700
San Francisco, CA 94102
Phone
(415) 362-2238
Fax
(415) 362-7745
NPI assigned
Nov 1, 2006
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G16902 CA Primary

Addresses

Primary practice location

490 Post Street
#700
San Francisco, CA 94102

Mailing address

490 Post Street
#700
San Francisco, CA 94102
Phone (415) 362-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000239 CA Practitioner - Dermatology 0648370189 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G16902CAMDSpecialist
16902CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Medical Group of San Francisco, Inc Specialist CurrentSince Jan 1, 2008 Accepting new patients
Dermatology Medical Group of SF Specialist Past Accepting new patients

Locations

490 Post St
Ste 700
San Francisco, CA 94102
Phone (415) 362-2238

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1437236452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST STREET",
            "address_2": "#700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-362-2238",
            "fax_number": "415-362-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST STREET",
            "address_2": "#700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-362-2238",
            "fax_number": "415-362-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERWICK",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G16902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.