Heriberto Nunez MD, a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERIBERTO NUNEZ MD, A PROFESSIONAL CORPORATION

Practice address

850 S Atlantic Blvd Ste 203
Monterey Park, CA 91754-6707

Phone

(626) 284-3111

Fax

(626) 872-2450

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Heriberto Nunez, M.D.NPI 1164692703

Title

Doctor

Phone

(626) 284-3111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heriberto Nunez, M.D.

  • General Practice Physician
  • Monterey Park, CA
  • NPI 1164692703
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1891947768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546707",
            "telephone_number": "626-284-3111",
            "fax_number": "626-872-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546707",
            "telephone_number": "626-284-3111",
            "fax_number": "626-872-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERIBERTO NUNEZ MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-284-3111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891947768",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "1891947768",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mabel Hernandez-Ortiz
• Adriana Maria Hernandez
• Carlos Alberto Hernandez
• Jocelyn Hernandez

• Family Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.