Individual provider Active NPI

Edward Steven Herrera, CRNA

  • Certified Registered Nurse Anesthetist
  • San Jose, CA
National Provider Identifier
1649744939
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
118697 Issued in CA
Practice address
250 Hospital Pkwy
San Jose, CA 95119-1103
Phone
(408) 972-3000
NPI assigned
Jan 19, 2019
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 118697 CA Primary

Addresses

Primary practice location

250 Hospital Pkwy
San Jose, CA 95119-1103

Mailing address

1446 Paloma Ave
Burlingame, CA 94010-3335
Phone (650) 201-7650

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420001395 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901214576 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
Empire Anesthesia IncGroup PAC ID 8224197108, 21 clinicians

Practice addresses (Care Compare)

250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000

4626 Willow Rd
Suite 100
Pleasanton, CA 94588-8555
Phone (925) 734-6744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
118697CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Management Services of California Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2021 Accepting new patients
Mai Nursing Anesthesia PC CurrentSince Jan 18, 2022 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Empire Anesthesia Inc CurrentSince Nov 1, 2021 Accepting new patients
Ukiah Adventist Hospital CurrentSince Feb 1, 2022 Accepting new patients
Sda Services of Ca CurrentSince Jan 26, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 13, 2021 Accepting new patients
Permanente Medical Group Inc CurrentSince Jan 13, 2021 Accepting new patients
Ukiah Adventist Hospital CurrentSince Feb 1, 2022 Accepting new patients
Apa Medical Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Apmc Medical Group Inc Past Accepting new patients

Locations (25 of 34)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1849 Old Bayshore Hwy
Fl 3
Burlingame, CA 94010
Phone (650) 209-5894

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

39350 Civic Center Dr
Ste 100
Fremont, CA 94538
Phone (510) 453-4600

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

10921 Wilshire Blvd
Ste 1111
Los Angeles, CA 90024
Phone (310) 879-5203

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

655 Munras Ave Ste 100
Ste 100
Monterey, CA 93940

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

4626 Willow Rd
Ste 100
Pleasanton, CA 94588
Phone (925) 462-2334

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1649744939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 PALOMA AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103335",
            "telephone_number": "650-201-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191103",
            "telephone_number": "408-972-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "EDWARD",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-19",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "118697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.