Organization Active NPI

William J Heringer MD a Professional Medical Corporation

  • Primary Care Clinic/Center
  • Solvang, CA
National Provider Identifier
1578107686
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WILLIAM J HERINGER MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
2030 Viborg Rd Ste 201
Solvang, CA 93463-3226
Phone
(805) 688-7200
Fax
(805) 688-2894
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Amy Frances Comer
Title
Office Manager
Phone
(805) 688-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2030 Viborg Rd Ste 201
Solvang, CA 93463-3226

Mailing address

2030 Viborg Rd Ste 201
Solvang, CA 93463-3226
Phone (805) 688-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200107001084 CA Part B Supplier - Clinic/Group Practice 4587098108 Receives reassigned benefits from 1 practitioner
Practice locations: Solvang, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1578107686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 VIBORG RD STE 201",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934633226",
            "telephone_number": "805-688-7200",
            "fax_number": "805-688-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 VIBORG RD STE 201",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934633226",
            "telephone_number": "805-688-7200",
            "fax_number": "805-688-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J HERINGER MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-688-7200"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.