Amy Michelle Herold, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

99527 Issued in CA

Practice address

1779 Dominican Way
Suite B
Santa Cruz, CA 95065-1526

Phone

(831) 479-4966

Fax

(831) 479-4967

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  Medicare reassignment
• Providence Medical Foundation

  • Obstetrics & Gynecology Physician
  • Napa, CA
  • NPI 1205131950
  NPD
• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1639715709
  NPD
• Washington Township Medical Foundation

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1871779017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 DOMINICAN WAY",
            "address_2": "SUITE B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651526",
            "telephone_number": "831-479-4966",
            "fax_number": "831-479-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 DOMINICAN WAY",
            "address_2": "SUITE B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651526",
            "telephone_number": "831-479-4966",
            "fax_number": "831-479-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "99527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hernandez
• Norma Hernandez
• Raul Hernandez
• Roberto Hernandez
• Sophie Ray Hernandez
• Edward Everett Herold, MD
• Nallely Herrera-Lucio
• Kaori Herrera
• Marilu Herrera
• Kathleen Mary Hertzer, M.D.

• Obstetrics & Gynecology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.