Rudolph Robert Herrera Jr., DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC29302 Issued in CA

Practice address

7900 Limonite Ave
Suite L
Riverside, CA 92509-6169

Phone

(951) 685-5345

Fax

(951) 685-5393

NPI assigned

Oct 18, 2006

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)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1750462115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 LIMONITE AVE",
            "address_2": "SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096169",
            "telephone_number": "951-685-5345",
            "fax_number": "951-685-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LIMONITE AVE",
            "address_2": "SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096169",
            "telephone_number": "951-685-5345",
            "fax_number": "951-685-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "RUDOLPH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29302",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC29302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Herrera
• Nora Herrera
• Paul Herrera
• Priscilla Herrera
• Rachel D Herrera, ACSW
• Selina Herrera
• Steven Herrera
• Ulysses Herrera, MD
• Viviana Herrera
• Yanely Isabel Herrera

• Sports Physician Chiropractor in Riverside, CA
• Providers in Riverside, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.