Herrera & Obeso Medical Group Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HERRERA & OBESO MEDICAL GROUP INC

Doing business as

Herrera & Obeso Medical Group INC

Practice address

1135 S Sunset Ave Ste 211
West Covina, CA 91790-3938

Phone

(626) 337-1800

Fax

(626) 337-1449

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Maria S Santos

Title

Practice Manager

Phone

(626) 337-1800

Specialties & licenses 5

Addresses

Other names 1

• Herrera & Obeso Medical Group INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Jose F Herrera, M.D.

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1356420053
  Medicare reassignment Care Compare group NPD
• Zaida Olivia Obeso, M.D.

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1881790616
  Medicare reassignment Care Compare group NPD
• Marialuz Sevilla-Herrera, MD

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1619044435
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1457567026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 211",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903938",
            "telephone_number": "626-337-1800",
            "fax_number": "626-337-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 211",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903938",
            "telephone_number": "626-337-1800",
            "fax_number": "626-337-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRERA & OBESO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "626-337-1800"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "AO54745",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "AO54745",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "AO54745",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "AO54745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herrera & Obeso Medical Group INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Hernandez
• Michelle Hernandez
• Sharon Hernandez
• Sir Oliver Rafael Hernandez
• Yanniry Hernandez
• Dylan Herrera-Gomez
• Angel Herrera
• Jose F Herrera, M.D.
• Ricardo Herrera
• Roxanne Ramirez Herrera, DDS

• Primary Care Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.