NPIMap

Individual provider Active NPI

Herminigildo Villon Valle, MD

  • Internal Medicine Physician
  • Daly City, CA
National Provider Identifier
1689758526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50188 Issued in CA
Practice address
1850 Sullivan Ave
Ste #510
Daly City, CA 94015
Phone
(650) 991-7002
Fax
(650) 991-3119
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50188 CA Primary

Addresses

Primary practice location

1850 Sullivan Ave
Ste #510
Daly City, CA 94015

Mailing address

1850 Sullivan Ave
Ste #510
Daly City, CA 94015
Phone (650) 991-7002

Other identifiers 8

IdentifierTypeStateIssuer
P00281697OtherRAILROAD MEDICARE
5422000A501880OtherBLUE SHIELD 1505
943153300002OtherAETNA
C00A501880OtherUNITED AMERICAN INS
00A501880OtherBLUE SHIELD
00A501880OtherHPSM CA
00A501881MedicaidCA
PR59662820001OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000715 CA Practitioner - Internal MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Vascular Surgery 4385622216 Reassigns benefits to 4 organizations
Practice locations: Daly City, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Vascular Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1850 Sullivan Ave
Suite 510
Daly City, CA 94015-2230
Phone (650) 991-7002

375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone (415) 759-4058

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50188CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Mar 1, 2019 Accepting new patients
City and County of San Francisco CurrentSince Aug 31, 2019 Accepting new patients
City & County of San Francisco CurrentSince Aug 31, 2019 Accepting new patients
County of San Mateo CurrentSince Mar 1, 2019 Accepting new patients
County of San Mateo CurrentSince Mar 1, 2019 Accepting new patients
Chanukya Dasari MD a Professional Corporation CurrentSince Dec 1, 2025 Accepting new patients
City & County of San Francisco Current Accepting new patients
Cogent Healthcare of Daly City, P.C. Internal Medicine Past Accepting new patients
Daly City Hospitalist Group, Inc. PastSince May 4, 2011 Accepting new patients

Locations

1840 N Hacienda Blvd
Ste 12
La Puente, CA 91744
Phone (626) 541-0021

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

710 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 528-6478

Organizations & group practices 11

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689758526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "STE #510",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-991-7002",
            "fax_number": "650-991-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "STE #510",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-991-7002",
            "fax_number": "650-991-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "HERMINIGILDO",
        "middle_name": "VILLON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00281697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD 1505",
            "identifier": "5422000A501880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "943153300002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN INS",
            "identifier": "C00A501880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A501880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPSM CA",
            "identifier": "00A501880",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A501881",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PR59662820001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.