Hermd Virtual Services Ca, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HERMD VIRTUAL SERVICES CA, P.C.

Practice address

776 Barracuda Way
Laguna Beach, CA 92651-4123

Phone

(949) 554-3211

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Chelliah, MD

Title

Director

Phone

(707) 720-5311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1669188314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340380",
            "address_2": "PMB 37348",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 BARRACUDA WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926514123",
            "telephone_number": "949-554-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMD VIRTUAL SERVICES CA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CHELLIAH",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-720-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health in Balance Integrative Medicine Inc.
• James Hedgecock, DC
• Richard Alan Helmer, M.D.
• Ann Marie Hembrough, PA-C
• Henry W Pribram
• Carlos J. Hermosillo, M.D.
• Nancy Hernandez Alvarez
• Melissa C Hernandez, LCSW
• Hightide Mental Health, LLC
• Heather Lea Hill, ANP

• Medical Specialty Clinic/Center in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.