Edith Gisel Herrera

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2370 Smythe Avenue #8
San Ysidro, CA 92173

Phone

(619) 866-9030

NPI assigned

Aug 23, 2017

Last updated

Aug 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1740707595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 SMYTHE AVE # 8",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 SMYTHE AVENUE #8",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "92173",
            "telephone_number": "619-866-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "EDITH",
        "middle_name": "GISEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson C Hendrix, MD
• Andrea M Herman, MD
• Kimberly Hazel Hernandez
• Silvia Hernandez
• Yessica Lupita Hernandez, RN
• Maricela Herrera
• Jedzida Herron
• Mary Jane Hrovat
• Berenice Ibanez, PH.D.
• Rachel Ann Ireland, MD

• Athletic Trainer in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.