GEORGE HOWARD HERZOG (NPI# 1245739283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245739283 |
| Entity Type | Individual |
| Full Name | GEORGE HOWARD HERZOG |
| Credential | RN, CNS |
| Practice Address |
4150 Clement St G1-111b1 San Francisco CA 94121 |
| Mailing Address |
88 Palisades Dr Daly City CA 94015-4511 |
| Practice Telephone | 4152214810 |
| Mailing Telephone | 4155169852 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
4606 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
4606 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ANCC ADULT-GERONTOLOGY CNS CERTIFICATION | 2016008577 | 01 |
| CA | CALIFORNIA BOARD OF REGISTERED NURSING CLINICAL NURSE SPECIALIST | 4606 | 01 |
| CA | CALIFORNIA BOARD OF REGISTERED NURSING REGISTERED NURSE | 493597 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417048067 | George Henry Herzog Jr. | Social Worker | 325 N 33rd Ave, 103, St Cloud, MN 56303 | 2006-09-27 |
| Street Address |
4150 CLEMENT ST G1-111B1 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| 1073959938 | Jenah Yangwas | Social Worker | 4150 Clement Street (181), San Francisco, CA 94121 | 2013-05-20 |
| Find all providers in zip 94121 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285095018 | Yelena Pletmintseva | Clinical Nurse Specialist | 1701 Divisadero St # 120, San Francisco, CA 94115-3011 | 2016-03-07 |
| 1679083125 | Jill Marlene Jones | Clinical Nurse Specialist | 4150 Clement St, San Francisco, CA 94121-1563 | 2017-10-10 |
| 1356891741 | Robert Tamblin | Clinical Nurse Specialist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2016-10-10 |
| 1811327208 | January Tenorio | Clinical Nurse Specialist | 1 Alder St, San Francisco, CA 94134-2136 | 2013-11-20 |
| 1437345394 | Myrna Kay Filman | Clinical Nurse Specialist | 1701 Ocean Ave, San Francisco, CA 94112 | 2007-09-24 |
| 1205926052 | Daniel Enrique Chan | Clinical Nurse Specialist | 2480 Mission St, #329, San Francisco, CA 94110-2487 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131759 | Loice A Ongwela | Clinical Nurse Specialist | 300 Pasteur Dr Rm H0105, Stanford, CA 94305-2200 | 2018-10-25 |
| 1114300449 | Emma Avetisyan | Clinical Nurse Specialist | 6064 Hazelhurst Pl, Unit 1, North Hollywood, CA 91606-4858 | 2015-07-06 |
| 1326332313 | Mary Pasdar | Clinical Nurse Specialist | 3003 Dow Ave Suite 204, Tustin, CA 92780 | 2011-06-07 |
| 1073830899 | Lynn Marie Fontana | Clinical Nurse Specialist | 255 N El Cielo Rd # C326, Palm Springs, CA 92262-6992 | 2010-05-04 |
| 1497948814 | Catherine A Bayne | Clinical Nurse Specialist | H-100 Santa Margarita Road, Naval Hospital, Camp Pendleton, CA 92055 | 2007-08-20 |
| 1609924075 | Gloria Jean Mcneal | Clinical Nurse Specialist | 5245 Pacific Concourse Drive Suite 100, National University Nurse Managed Clinic, Los Angeles, CA 90054-6905 | 2007-01-08 |
| 1811055528 | Li W Steffensen | Clinical Nurse Specialist | 9360 N Name Uno Ste 240, Gilroy, CA 95020-3535 | 2006-12-05 |
| 1043327679 | Kathleen Ohanlon | Clinical Nurse Specialist | San Diego Veterans Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2006-08-23 |
| 1942279856 | Linda S. Brandewie | Clinical Nurse Specialist | 795 Willow Road, Menlo Park, CA 94025 | 2006-03-14 |
| 1487268967 | Juliet Regis Vista | Clinical Nurse Specialist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
Please comment or provide details below to improve the information on GEORGE HOWARD HERZOG.
| 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.