Active NPI
Stephen A Herrera, PHLEBOTOMIST
- Technician
- Visalia, CA
National Provider Identifier
1962932012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- CPA00003870
- Practice address
- 2527 W Dorothea Ave
Visalia, CA 93277-7209 - Phone
- (559) 492-9240
- NPI assigned
- Jun 12, 2017
- 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 |
|---|---|---|---|---|
| Technician | 374700000X | CPA00003870 | CA | Primary |
Addresses
Primary practice location
2527 W Dorothea Ave
Visalia, CA 93277-7209
Mailing address
710 Van Ness Ave # 102
Fresno, CA 93721-2912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPA00003870 | CA | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1962932012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 VAN NESS AVE # 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937212912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 W DOROTHEA AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932777209",
"telephone_number": "559-492-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "CA",
"license": "CPA00003870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.