DR. GARY ALLEN HERFINDAHL M.D. NPI 1336164771

NPI Information

NPI: 1336164771
Provider Name: DR. GARY ALLEN HERFINDAHL, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
908 PINE ST
MOUNT SHASTA, CA
ZIP 96067
Phone: (530) 926-3161
Get Directions

DR. Gary Allen Herfindahl, M.D. is an emergency medical services emergency medicine in Mount Shasta, CA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Gary Allen Herfindahl, M.D. NPI is 1336164771. 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:

908 PINE ST
MOUNT SHASTA, CA
ZIP 96067-143
Phone: (530) 926-3161
Fax: (530) 926-0406

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/9/2007.

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	207PE0004X	Emergency Medicine	Emergency Medical Services	G51667	CALIFORNIA	Yes
2	207RC0200X	Internal Medicine	Critical Care Medicine	G51667	CALIFORNIA	X
3	208600000X	Surgery		G51667	CALIFORNIA	X

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	A52050	MEDICARE UPIN	CALIFORNIA
2	00G516670	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
3	0662956	OTHER	SOUTH CAROLINA	CHAMPUS
4	00G516670	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	NHIC MEDICARE PROVIDER ID
5	00G516670	MEDICAID	CALIFORNIA
6	G51667	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
7	172614	MEDICAID	OREGON
8	00G516670	OTHER	CALIFORNIA	CALIF CHILDREN'S SERVICES

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 »