Roy L Herndon MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A19659 Issued in CA

Legal business name

ROY L HERNDON MD INC

Practice address

1010 W Laveta Ave
Suite 750
Orange, CA 92868-4200

Phone

(714) 835-6042

Fax

(714) 835-5135

NPI assigned

Dec 6, 2007

Last updated

Apr 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roy L Herndon, MDNPI 1417928383

Title

President

Phone

(714) 835-6042

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy L Herndon, M.D.

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1417928383
  Authorized official Same address or phone

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1447433032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LAVETA AVE",
            "address_2": "SUITE 750",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684200",
            "telephone_number": "714-835-6042",
            "fax_number": "714-835-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LAVETA AVE",
            "address_2": "SUITE 750",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684200",
            "telephone_number": "714-835-6042",
            "fax_number": "714-835-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY L HERNDON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-835-6042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A19659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Rowe, M.D.
• Kevin Rowen, PSYD
• Marshall Rowen, M.D.
• Ann Elise Rowley, MD
• Christina Albina Rowley, MS
• RPM Medical Group
• Osbaldo Rubalcava Jr.
• Sofia Rubalcava
• Benjamin D Rubin, MD
• Elyssa M. Rubin, M.D.

• Internal Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.