Organization Active NPI

Paul W. Herrmann, M.D., Inc.

  • Forensic Pathology Physician
  • San Rafael, CA
National Provider Identifier
1699898288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
C32859 Issued in CA
Legal business name
PAUL W. HERRMANN, M.D., INC.
Practice address
140 Oak View Dr
San Rafael, CA 94903-3839
Phone
(415) 492-0928
Fax
(415) 492-1610
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul William Hermann, M.D.
Title
President
Phone
(415) 492-0928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZF0201X C32859 CA Primary

Addresses

Primary practice location

140 Oak View Dr
San Rafael, CA 94903-3839

Mailing address

140 Oak View Dr
San Rafael, CA 94903-3839
Phone (415) 492-0928

National Provider Directory

National Provider Directory

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699898288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OAK VIEW DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033839",
            "telephone_number": "415-492-0928",
            "fax_number": "415-492-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OAK VIEW DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033839",
            "telephone_number": "415-492-0928",
            "fax_number": "415-492-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W. HERRMANN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-492-0928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "C32859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.