Active NPI
David J Herfindahl, M.D
- Family Medicine Physician
- Yreka, CA
National Provider Identifier
1831115237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A25420
- Practice address
- 700 S Main St Ste 1
Yreka, CA 96097-3354 - Phone
- (530) 842-0817
- Fax
- (530) 842-4907
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A25420 | CA | Primary |
Addresses
Primary practice location
700 S Main St Ste 1
Yreka, CA 96097-3354
Mailing address
PO Box 1608
Yreka, CA 96097-1608
Phone (530) 842-0817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25420 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Family Healthcare, Inc. | Past | Accepting new patients | |
| Fairchild Medical Group | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Yreka, CA
- NPI 1063588895
-
- Rural Health Clinic/Center
- Yreka, CA
- NPI 1881686301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1831115237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "YREKA",
"state": "CA",
"postal_code": "960971608",
"telephone_number": "530-842-0817",
"fax_number": "530-842-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S MAIN ST STE 1",
"city": "YREKA",
"state": "CA",
"postal_code": "960973354",
"telephone_number": "530-842-0817",
"fax_number": "530-842-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERFINDAHL",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A25420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.