Heidi Vivian Cipollone Herrera, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A122576 Issued in CA

Practice address

25500 Rancho Niguel Rd Ste 110
Laguna Niguel, CA 92677-7373

Phone

(949) 448-8821

Fax

(949) 448-8831

NPI assigned

Jul 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Coastal Kids, a Professional Medical Corporation

  • Pediatrics Physician
  • Newport Beach, CA
  • NPI 1740311737
  NPD (past)
• Johns Hopkins All Children'S Hospital, Inc

  • Children's Hospital
  • St Petersburg, FL
  • NPI 1427114099
  NPD (past)
• Memorial Health Systems Inc

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  NPD (past)
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1629207378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533628",
            "telephone_number": "949-599-2434",
            "fax_number": "949-599-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 110",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777373",
            "telephone_number": "949-448-8821",
            "fax_number": "949-448-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLONE HERRERA",
        "first_name": "HEIDI",
        "middle_name": "VIVIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A122576",
            "primary": true
        },
        {
            "code": "2080T0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Medical Toxicology",
            "state": "CA",
            "license": "A122576",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CH859Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001370800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chiang Chun, DPT
• Ji Hyun Chun, PA-C
• Chin W Chung, MD
• Stephen Paul Chung, LAC
• Nancy Ann Cipollini, M.A., CCC-SLP
• Norman Coakley, D.O.
• Coastal Imaging Service
• Michael Coel, M.S.
• Barry Jay Cohen, PHARM.D.
• Julia Beth Cohen, PHD.

• Pediatrics Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.