NPIMap

Organization Active NPI

R Jeffrey Herten MD Inc

  • Dermatology Physician
  • San Luis Obispo, CA
National Provider Identifier
1730279944
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
R JEFFREY HERTEN MD INC
Practice address
15 Santa Rosa Street
San Luis Obispo, CA 93405-1811
Phone
(805) 541-2650
Fax
(805) 541-4043
NPI assigned
Oct 16, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
R Jeffrey Herten, MD
Title
Corporation President
Phone
(805) 541-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

15 Santa Rosa Street
San Luis Obispo, CA 93405-1811

Mailing address

15 Santa Rosa Street
San Luis Obispo, CA 93405-1811
Phone (805) 541-2650

National Provider Directory

National Provider Directory

Locations

15 Santa Rosa St
Sn Luis Obisp, CA 93405
Phone (805) 541-2650

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1730279944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SANTA ROSA STREET",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051811",
            "telephone_number": "805-541-2650",
            "fax_number": "805-541-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SANTA ROSA STREET",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051811",
            "telephone_number": "805-541-2650",
            "fax_number": "805-541-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R JEFFREY HERTEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "HERTEN",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "805-541-2650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.