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Angel Heredia

Rehabilitation Practitioner · San Jose

NPI 1417525056

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Angel Heredia’s office at (408) 800-4095 to ask if they take your plan before you enroll.

Professional record

NPI
1417525056
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 225400000X (225400000X); Federal specialty code 171M00000X (171M00000X)
Mailing address
425 E Santa Clara St, San Jose, CA, 95113
NPI first listed
2021-06-10
NPI last updated
2026-06-16
NPI record certified
2026-06-16

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1500 E Hamilton Ave, Campbell, CA, 95008