Individual provider Active NPI

Ruth Figueira Herdy, NP

  • Family Nurse Practitioner
  • San Clemente, CA
National Provider Identifier
1760931448
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95004368 Issued in CA
Practice address
1300 Avenida Vista Hermosa Ste 250
San Clemente, CA 92673-6340
Phone
(949) 240-2272
NPI assigned
Sep 23, 2016
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95004368 CA Primary

Addresses

Primary practice location

1300 Avenida Vista Hermosa Ste 250
San Clemente, CA 92673-6340

Mailing address

1300 Avenida Vista Hermosa Ste 250
San Clemente, CA 92673-6340
Phone (949) 240-2272

Other names 1

  • Ruth Figueira Herdy-Dasilva Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215000310 CA Practitioner - Nurse Practitioner 1153601802 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95004368CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Apr 27, 2017 Accepting new patients
Cep America - Auc PC CurrentSince Nov 1, 2016 Accepting new patients
Cep America - Auc, PC CurrentSince Nov 1, 2016 Accepting new patients
Cep America - Auc PC Current Accepting new patients
Shafa Medical Center Inc CurrentSince Apr 8, 2017 Accepting new patients

Locations

26730 Towne Centre Dr
Ste 102
Foothill Rnch, CA 92610
Phone (949) 380-1234

15775 Laguna Canyon Rd
Ste 220
Irvine, CA 92618
Phone (949) 547-4161

23181 Verdugo Dr
Ste 103A
Laguna Hills, CA 92653
Phone (800) 964-4364

22855 Lake Forest Dr
Ste A
Lake Forest, CA 92630
Phone (949) 452-7544

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

23962 Alicia Pkwy
Ste I1
Mission Viejo, CA 92691
Phone (949) 297-0238

26137 La Paz Rd
Ste 120
Mission Viejo, CA 92691
Phone (949) 452-3309

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

Interoperability endpoints

  • Direct secure messaging: ruthherdy@chcca.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1760931448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA STE 250",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736340",
            "telephone_number": "949-240-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA STE 250",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736340",
            "telephone_number": "949-240-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDY",
        "first_name": "RUTH",
        "middle_name": "FIGUEIRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95004368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "HERDY-DASILVA",
            "middle_name": "FIGUEIRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.