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DR. VERONICA HEREDIA MD NPI 1457538860


NPI Information

NPI: 1457538860
Provider Name: DR. VERONICA HEREDIA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 05D1056525

Address:
2016 FOREST AVE
SUITE # 7
SAN JOSE, CA
ZIP 95128
Phone: (408) 289-8410
Get Directions

DR. Veronica Heredia, MD is a pediatrics in San Jose, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Veronica Heredia, MD NPI is 1457538860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2016 FOREST AVE
SUITE # 7
SAN JOSE, CA
ZIP 95128-804
Phone: (408) 289-8410
Fax: (408) 289-8507

The CLIA number assigned to this NPI record is 05D1056525 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 6/4/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA73219CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A732190MEDICAIDCALIFORNIA

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

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.