Active NPI
Mario Javier Herrera, NP
- Primary Care Nurse Practitioner
- Corona, CA
National Provider Identifier
1962014381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95015148
- Practice address
- 2130 High Pointe Dr
Apt 108
Corona, CA 92879 - Phone
- (562) 965-3173
- NPI assigned
- Aug 18, 2020
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95015148 | CA | Primary |
Addresses
Primary practice location
2130 High Pointe Dr
Apt 108
Corona, CA 92879
Mailing address
2130 High Pointe Dr
Apt 108
Corona, CA 92879
Phone (562) 965-3173
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015148 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&H Wellness and Professional Nursing, Inc. | Current | Accepting new patients |
Interoperability endpoints
- mario.herrera.1@17371.direct.athenahealth.com
- mario.herrera@49412312072196.direct.elationemr.com
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1962014381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 HIGH POINTE DR",
"address_2": "APT 108",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "562-965-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 HIGH POINTE DR",
"address_2": "APT 108",
"city": "CORONA",
"state": "CA",
"postal_code": "92879",
"telephone_number": "562-965-3173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MARIO",
"middle_name": "JAVIER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95015148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.