George R Herron Jr MD Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GEORGE R HERRON JR MD INC

Practice address

1610 N El Dorado St Ste 17
Stockton, CA 95204-5930

Phone

(209) 465-5107

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

George Herron, M.D.,

Title

Chief Executive Officer

Phone

(209) 465-5107

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 3

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

• Lan Ngoc Quang, M.D.

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1437354347
  NPD (past)
• Jerry Soung, M.D.

  • Nephrology Physician
  • Stockton, CA
  • NPI 1154318764

  Internal Medicine

  NPD (past)
• Lian Soung, M.D.

  • Nephrology Physician
  • Stockton, CA
  • NPI 1174510747

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1518040799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N EL DORADO ST STE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N EL DORADO ST STE 17",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045930",
            "telephone_number": "209-465-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R HERRON JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-465-5107",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G100820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Genicoff, MD
• Gentry Vu MD Inc
• Lauren Genung
• Geny B. Burgos M. D. Inc.
• George E. Rishwain, M.D., Inc
• C. Paul George, D.D.S.
• Franklin George
• Jamie George
• Lindsey George
• Biobele Georgewill

• Nephrology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.