Sade Dreana Heredia

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

747446 Issued in CA

Practice address

490 N Grape St
Escondido, CA 92025-3079

Phone

(760) 509-9093

NPI assigned

Sep 23, 2022

Reactivated

Mar 5, 2025

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1508589524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 N GRAPE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253079",
            "telephone_number": "760-509-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N GRAPE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253079",
            "telephone_number": "760-509-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "SADE",
        "middle_name": "DREANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "deactivation_date": "2025-02-21",
        "reactivation_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "747446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Her
• Herbs & Needle Acupuncture
• Herbs & Needle Acupuncture Inc
• Sara J Herbst
• Delienid Heredia, LVN
• Courtney Hermes, RN
• Brayan Hernandez Angel, AMFT
• Sonia Hernandez Cabanas
• Nayeli Guadalupe Hernandez Galaviz
• Jose-Daniel Hernandez-Rivera, MD

• Licensed Vocational Nurse in Escondido, CA
• Providers in Escondido, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.