Organization Active NPI

Herrera Chiropractic Inc

  • Chiropractor
  • San Bernardino, CA
National Provider Identifier
1679919583
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27442 Issued in CA
Legal business name
HERRERA CHIROPRACTIC INC
Practice address
416 N H St
Suite #1
San Bernardino, CA 92410-3268
Phone
(909) 888-5527
Fax
(909) 743-6941
NPI assigned
May 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2013

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

Authorized official

Name
Dr. Jose Herrera, D.C.
Title
Owner/President
Phone
(909) 888-5527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27442 CA Primary

Addresses

Primary practice location

416 N H St
Suite #1
San Bernardino, CA 92410-3268

Mailing address

416 N H St
Suite #1
San Bernardino, CA 92410-3268
Phone (909) 888-5527

Other identifiers 1

IdentifierTypeStateIssuer
DC0274420MedicaidCA

National Provider Directory

National Provider Directory

Locations

416 N H St
Ste 1
Sn Bernrdno, CA 92410
Phone (909) 888-5527

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": "1368835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368835200000",
    "number": "1679919583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N H ST",
            "address_2": "SUITE #1",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103268",
            "telephone_number": "909-888-5527",
            "fax_number": "909-743-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N H ST",
            "address_2": "SUITE #1",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103268",
            "telephone_number": "909-888-5527",
            "fax_number": "909-743-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRERA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-888-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0274420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; 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.