Active NPI
Paul William Herrmann, M.D.
- Forensic Pathology Physician
- San Rafael, CA
National Provider Identifier
1477685709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- C32859
- Practice address
- 140 Oak View Dr
San Rafael, CA 94903-3839 - Phone
- (415) 492-0928
- Fax
- (415) 492-1610
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | C32859 | CA | Primary |
Addresses
Primary practice location
140 Oak View Dr
San Rafael, CA 94903-3839
Mailing address
140 Oak View Dr
San Rafael, CA 94903-3839
Phone (415) 492-0928
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul W. Herrmann, M.D., Inc. | Forensic Pathology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Forensic Pathology Physician
- San Rafael, CA
- NPI 1699898288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477685709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 OAK VIEW DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033839",
"telephone_number": "415-492-0928",
"fax_number": "415-492-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 OAK VIEW DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033839",
"telephone_number": "415-492-0928",
"fax_number": "415-492-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "PAUL",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "CA",
"license": "C32859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.