ROSA ELENA HEREDIA (NPI# 1033212691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033212691 |
| Entity Type | Individual |
| Full Name | ROSA ELENA HEREDIA |
| Credential | FNP |
| Practice Address |
244 N Jackson Ave Ste 209 San Jose CA 95116-1604 |
| Practice Telephone | 4082583724 |
| Practice Fax Number | 4082583736 |
| Mailing Telephone | 4082583724 |
| Mailing Fax Number | 4082583736 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP9507 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP9507 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP9507 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699196303 | Rosa Heredia | Nurse Practitioner | 234 East 149th Street, Medicine Department 8th Floor, Bronx, NY 10451 | 2013-12-23 |
| Street Address |
244 N JACKSON AVE STE 209 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143898 | Janardan S Joshi | Otolaryngology | 244 N Jackson Ave, Ste 201, San Jose, CA 95116-1604 | 2005-08-31 |
| 1194048884 | Genesis Clinica De La Mujer Inc | Internal Medicine | 244 N Jackson Ave, Suite 209, San Jose, CA 95116-1604 | 2010-03-09 |
| 1972732220 | Jose A. Adura-miranda, Md, Inc | General Practice | 244 N Jackson Ave, Suite 110, San Jose, CA 95116-1604 | 2009-07-08 |
| 1265657829 | Chiropractic Care | Chiropractor | 244 N Jackson Ave, Suite 205, San Jose, CA 95116-1604 | 2007-04-17 |
| 1720116502 | Karen Geller Kohut | Specialist | 244 N Jackson Ave, Suite 209, San Jose, CA 95116-1604 | 2007-03-01 |
| 1457458051 | Dale Andrada Capulong | Obstetrics & Gynecology | 244 N Jackson Ave, #102, San Jose, CA 95116 | 2006-09-19 |
| 1649381781 | Dale Capulong Md, Inc. | Obstetrics & Gynecology | 244 N Jackson Ave, 102, San Jose, CA 95116-1604 | 2006-08-31 |
| 1508879750 | Bayo Inc | Radiology | 244 N Jackson Ave, Ste 110, San Jose, CA 95116-1604 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205855889 | Mercedes Lucille Holland | Nurse Practitioner | 2076 Wente Way, San Jose, CA 95125 | 2006-07-18 |
| 1376534008 | Beverly J Elemen | Nurse Practitioner | 276 International Circle, San Jose, CA 95119 | 2005-11-02 |
| 1023008208 | Martha Maupin Medlicott | Nurse Practitioner | 276 International Cir, San Jose, CA 95119-1130 | 2005-10-27 |
| 1518362466 | Kelsey Lynd | Nurse Practitioner | 2400 Samaritan Dr Ste 105, San Jose, CA 95124-3910 | 2014-11-04 |
| 1770823866 | Emily Johannah Peters-limbeck | Nurse Practitioner | 125 N Jackson Ave, San Jose, CA 95116-1903 | 2013-02-26 |
| 1184813958 | Angelica Holden | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2007-10-17 |
| 1235207598 | Gloria Luz Sanchez | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2006-12-02 |
| 1952479214 | Lisa Friedrichs | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2006-12-02 |
| 1497820393 | Leila Van Gelder | Nurse Practitioner | 276 International Circle, Kaiser Permanente Dept Obgyn, San Jose, CA 95119 | 2006-11-24 |
| 1487746772 | Catherine Ann Allen | Nurse Practitioner | 260 International Cir, San Jose, CA 95119-1130 | 2006-09-28 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.