Individual provider Active NPI

Christopher Herrera, D.C.

  • Chiropractor
  • Redwood City, CA
National Provider Identifier
1972814853
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31704 Issued in CA
Practice address
1779 Woodside Rd Ste 201B
Redwood City, CA 94061-3498
Phone
(650) 366-6652
Fax
(650) 249-3788
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31704 CA Primary

Addresses

Primary practice location

1779 Woodside Rd Ste 201B
Redwood City, CA 94061-3498

Mailing address

1779 Woodside Rd Ste 201B
Redwood City, CA 94061-3498
Phone (650) 366-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000140 CA Practitioner - Chiropractic 3173769312 Practice locations: Redwood City, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1779 Woodside Rd
Suite 201B
Redwood City, CA 94061-3498
Phone (650) 366-6652

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1972814853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 WOODSIDE RD STE 201B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613498",
            "telephone_number": "650-366-6652",
            "fax_number": "650-249-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 WOODSIDE RD STE 201B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613498",
            "telephone_number": "650-366-6652",
            "fax_number": "650-249-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.