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Veronica Heredia, MD

Pediatrics · San Jose

NPI 1457538860

Medicare standing
1 flag on the record
Listed below.
Plans that list them
3
2 carriers
Office
1

On the public record

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

Offices

1 location

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Heredia’s office at (408) 289-8410 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A73219 · Current

Licensed to practise in California · since 2000 · expires 2028-04-30 · Autonomous University of Guadalajara Faculty of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$3,277 in 2024

Medicaid paid $3,277 for 997 billed services this clinician did in 2024, up to 41 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Pure tone audiometry (threshold); air only109$1,394
LIMITED VISUAL FIELD XM UNI/BI I&R124$436
Hemoglobin A1C level124$412
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use40$397
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy124$352
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use26$258
Screening performed and negative142$29
Short return visit (20+ min)308$0
Medicaid work by year
2024997841$3,277
20232,3121052$9,935
20222,3491249$16,506
20212,4411056$16,770
20202,0811054$14,589
20192,2861054$15,713
20181,9981069$15,924
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Pure tone audiometry (threshold); air only300$3,546
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use204$1,766
LIMITED VISUAL FIELD XM UNI/BI I&R307$1,033
Hemoglobin A1C level300$983
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy320$843
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)15$825
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)15$697
Screening performed and negative345$116
Short return visit (20+ min)464$70
HEMOGLOBIN42$57

2022

Largest Medicaid services in 2022
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)125$5,902
Pure tone audiometry (threshold); air only362$3,789
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use160$1,337
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)42$1,298
Hemoglobin A1C level298$986
LIMITED VISUAL FIELD XM UNI/BI I&R294$983
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy354$829
Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 30 mcg/0.3 mL dosage, tris-sucrose formulation, booster dose20$800
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use26$227
Screening performed and negative88$145
Short return visit (20+ min)453$123
HEMOGLOBIN127$87

2021

Largest Medicaid services in 2021
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)129$5,666
Pure tone audiometry (threshold); air only378$3,773
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)52$2,043
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use241$1,865
LIMITED VISUAL FIELD XM UNI/BI I&R296$994
Hemoglobin A1C level297$983
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy367$835
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use69$526
HEMOGLOBIN117$84
Short return visit (20+ min)495$0

2020

Largest Medicaid services in 2020
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)82$3,669
Pure tone audiometry (threshold); air only300$3,070
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)78$3,019
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use255$2,093
LIMITED VISUAL FIELD XM UNI/BI I&R243$824
Hemoglobin A1C level241$793
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy298$682
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use46$377
HEMOGLOBIN85$64
Short return visit (20+ min)453$0

2019

Largest Medicaid services in 2019
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)109$3,808
Pure tone audiometry (threshold); air only360$3,594
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)69$3,191
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use213$1,597
Hemoglobin A1C level317$1,052
LIMITED VISUAL FIELD XM UNI/BI I&R281$969
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy349$775
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)12$453
Short return visit (20+ min)516$210
HEMOGLOBIN60$64

2018

Largest Medicaid services in 2018
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)103$4,479
Pure tone audiometry (threshold); air only320$3,791
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)65$3,356
Hemoglobin A1C level351$1,165
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use136$1,090
LIMITED VISUAL FIELD XM UNI/BI I&R291$986
Short return visit (20+ min)403$508
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy93$207
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use20$198
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy216$143

Money from drug and device companies

$23 in 2024

A payment is not proof that care is biased.

Payments by company
Seqirus USAFlucelvax$23
1 payment
  • Meals for Flucelvax · 2024-01-18 · $23
See the published payment
Every published payment
Seqirus USAMeals · 2024-01-18Flucelvax$23

Professional record

NPI
1457538860
Licence
CA A73219California A73219: Current · expires 2028-04-30
More record details
Sole proprietor
Yes
Medicaid ID
CA 00A732190
Taxonomy
Pediatrics (208000000X)
Mailing address
2016 Forest Ave, Suite # 7, San Jose, CA, 95128
NPI first listed
2008-01-28
NPI last updated
2009-06-04

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