Active NPI
Michael L. Herman, MD
- Surgery Physician
- San Diego, CA
National Provider Identifier
1902973852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G34069
- Practice address
- 13501 Jadestone Way
San Diego, CA 92130-2828 - Phone
- (619) 851-3779
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G34069 | CA | Primary |
Addresses
Primary practice location
13501 Jadestone Way
San Diego, CA 92130-2828
Mailing address
13501 Jadestone Way
San Diego, CA 92130-2828
Phone (619) 851-3779
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G34069 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Facility Health Care Solutions Inc | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1104018423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1902973852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13501 JADESTONE WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302828",
"telephone_number": "619-851-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13501 JADESTONE WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302828",
"telephone_number": "619-851-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "MICHAEL",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G34069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.