Active NPI
Douglas Scott Herting, DOCTOR OF CHIRO
- Chiropractor
- Gualala, CA
National Provider Identifier
1942390380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23019
- Practice address
- 39031 Ocean Dr Ste 2
Gualala, CA 95445-8434 - Phone
- (707) 561-2369
- Fax
- (707) 400-5998
- NPI assigned
- Oct 14, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC23019 | CA | Primary |
Addresses
Primary practice location
39031 Ocean Dr Ste 2
Gualala, CA 95445-8434
Mailing address
PO Box 1368
Gualala, CA 95445-1368
Phone (707) 561-2369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100505000247 | CA | Practitioner - Chiropractic | 5092843565 | Practice locations: Gualala, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
39031 Ocean Dr
Suite 2
Gualala, CA 95445-8434
Phone (707) 561-2369
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1942390380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "GUALALA",
"state": "CA",
"postal_code": "954451368",
"telephone_number": "707-561-2369",
"fax_number": "707-400-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39031 OCEAN DR STE 2",
"city": "GUALALA",
"state": "CA",
"postal_code": "954458434",
"telephone_number": "707-561-2369",
"fax_number": "707-400-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTING",
"first_name": "DOUGLAS",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DOCTOR OF CHIRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gualala, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.