Margaret Elaine Hermoso, RN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19242 Issued in CA

Practice address

500 Arguello St
Suite 100
Redwood City, CA 94063-1566

Phone

(650) 851-4900

Fax

(650) 995-1202

NPI assigned

Nov 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Margaret Elaine Jedlicka Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1568764553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO STREET",
            "address_2": "SUITE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-851-4900",
            "fax_number": "650-995-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO ST",
            "address_2": "SUITE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631566",
            "telephone_number": "650-851-4900",
            "fax_number": "650-995-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOSO",
        "first_name": "MARGARET",
        "middle_name": "ELAINE",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "344442",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "JEDLICKA",
            "middle_name": "ELAINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Astrid Henriquez-Esquilin, M.S., CCC-SLP
• John Louis Herbert, MD
• Jorge Graciano Heredia
• Valerie J. Herman, MD
• Donald Roy Hermansen, D.D.S.
• Diana Denisse Hernandez Guerrero
• Andres Hernandez, PA-C
• Cristal Hernandez
• Pedro Hernandez
• Rebecca Tanya Hernandez

• Family Nurse Practitioner in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.