GEORGE R HERRON JR MD INC NPI 1518040799

NPI Information

  • NPI: 1518040799
  • Provider Name: GEORGE R HERRON JR MD INC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 1610 N EL DORADO ST STE 17
    STOCKTON, CA
    ZIP 95204
  • Phone: (209) 465-5107

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NPI Details

GEORGE R HERRON JR MD INC is a nephrology internal medicine in Stockton, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. GEORGE R HERRON JR MD INC NPI is 1518040799. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1610 N EL DORADO ST STE 17
STOCKTON, CA
ZIP 95204-930
Phone: (209) 465-5107

The provider's authorized official is George Herron .
The authorized official title is Chief Executive Officer and has the following contact phone number (209) 465-5107.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 2/2/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RN0300XInternal MedicineNephrologyYes

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
1A37844MEDICARE UPIN
200G100820MEDICARE ID-TYPE UNSPECIFIED
300G100820MEDICAIDCALIFORNIA

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: 3/30/2025

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