Jaime Lucio Herrera, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95019147 Issued in CA

Practice address

13442 Malena Dr
Santa Ana, CA 92705-1912

Phone

(714) 543-5437

NPI assigned

Mar 9, 2022

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Olive Crest

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Santa Ana, CA
  • NPI 1366949513
  NPD (past)
• Olive Crest

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Orange, CA
  • NPI 1578060919
  NPD (past)
• Olive Crest

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Santa Ana, CA
  • NPI 1659878809
  NPD (past)

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1720735731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SANTA ROSA WAY",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701838",
            "telephone_number": "626-641-8836",
            "fax_number": "714-543-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13442 MALENA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051912",
            "telephone_number": "714-543-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 E 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053818",
            "country_code": "US",
            "telephone_number": "714-543-5437 x1329",
            "fax_number": "714-543-5463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Langsdorf Dr",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313702",
            "country_code": "US",
            "telephone_number": "714-871-9264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 N Wheeler St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693217",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19356 Saylor Ter",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927051437",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JAIME",
        "middle_name": "LUCIO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019147",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Herrera
• Crystal Herrera
• Diana J Herrera
• Diego Herrera
• Irene Juanita Herrera
• Katrina Herrera, DPT
• Marlyn Herrera
• Nancy Herrera
• Rafael Herrera
• Rebekah Sierra Leona Herrera

• Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.