HERIBERTO NUNEZ M.D. NPI 1164692703

NPI Information

NPI: 1164692703
Provider Name: HERIBERTO NUNEZ, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D1091451

Address:
850 S ATLANTIC BLVD STE 203
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 284-3111
Get Directions

Heriberto Nunez, M.D. is a general practice in Monterey Park, CA with 35 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Heriberto Nunez, M.D. NPI is 1164692703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

850 S ATLANTIC BLVD STE 203
MONTEREY PARK, CA
ZIP 91754-707
Phone: (626) 284-3111
Fax: (626) 872-2450

The NPI 1164692703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D1091451 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		A79979	CALIFORNIA	No
2	207QA0505X	Family Medicine	Adult Medicine	A79979	CALIFORNIA	No
3	207QG0300X	Family Medicine	Geriatric Medicine	A79979	CALIFORNIA	No
4	207RG0300X	Internal Medicine	Geriatric Medicine	A79979	CALIFORNIA	No
5	208D00000X	General Practice		A79979	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A79979	OTHER	CALIFORNIA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »