Individual provider Active NPI

Candace Colette Herb, NP

  • Family Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1639904048
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031901 Issued in CA
Practice address
29 Baywood Ave
San Mateo, CA 94402-1516
Phone
(408) 232-7545
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031901 CA Primary

Addresses

Primary practice location

29 Baywood Ave
San Mateo, CA 94402-1516

Mailing address

1694 Tully Rd Ste a
San Jose, CA 95122-2537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031901CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte Inc. CurrentSince Sep 9, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients

Locations

2907 El Camino Real
Redwood City, CA 94061
Phone (650) 235-7940

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

29 Baywood Ave
San Mateo, CA 94402
Phone (650) 235-7940

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1639904048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 TULLY RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BAYWOOD AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021516",
            "telephone_number": "408-232-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERB",
        "first_name": "CANDACE",
        "middle_name": "COLETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.