Individual provider Active NPI

David J Herfindahl, M.D

  • Family Medicine Physician
  • Yreka, CA
National Provider Identifier
1831115237
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A25420 Issued in CA
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

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A25420CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.