Individual provider Active NPI

Fresco Herrera, P.T.

  • Orthopedic Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1508080227
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 14283 Issued in CA
Practice address
5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone
(661) 324-0122
Fax
(661) 324-0830
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 14283 CA
Orthopedic Physical Therapist 2251X0800X PT 14283 CA Primary

Addresses

Primary practice location

5337 Truxtun Ave
Bakersfield, CA 93309-0641

Mailing address

5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (661) 324-0122

Other identifiers 1

IdentifierTypeStateIssuer
PT14283OtherCAPT LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000551 CA Practitioner - Physical Therapist in Private Practice 8426215302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 14283CAMDOrthopedic Physical Therapist
14283CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pair & Marotta Physical Therapy, Inc. CurrentSince Nov 27, 2011 Accepting new patients
Pair & Marotta Physical Therapy, Inc. Physical Therapist CurrentSince Nov 27, 2011 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

3400 Panama Ln
Ste R
Bakersfield, CA 93313
Phone (661) 412-4667

5337 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 324-0122

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508080227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-324-0122",
            "fax_number": "661-324-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-324-0122",
            "fax_number": "661-324-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "FRESCO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14283",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 14283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT14283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.