MARIA LOURDES HERRERA M.D.
NPI 1285994921
Pediatrics - Pediatric Gastroenterology in San Diego, CA

Active since May 28, 2012PECOS Enrolled
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123(858) 966-6764 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2021, Jul 3, 2018 (2 updates tracked since 2018).

About Maria Lourdes Herrera M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA LOURDES HERRERA M.D. (NPI 1285994921) is an individual pediatric gastroenterology provider in San Diego, California, licensed in Montana (MED-PHYS-LIC-92335) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285994921
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameMARIA LOURDES HERRERACredential: M.D.
Location Address3020 CHILDRENS WAY # MC5124San Diego, CA 92123-4223
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255
Sole ProprietorNo
Enumeration DateMay 28, 2012
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
NPI 1285994921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses Licensed in MT · MED-PHYS-LIC-92335 Licensed in NC · 2018-00788
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License MED-PHYS-LIC-92335 (MT)
3020 CHILDRENS WAY # MC5124, San Diego, CA 92123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maria Lourdes Herrera M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Herrera's NPI number?

The NPI number for Maria Herrera is 1285994921. It was assigned to this individual provider in the NPPES registry on May 28, 2012.

Where is Maria Herrera located?

Maria Herrera practices at 3020 Childrens Way # Mc5124, San Diego, CA 92123. The listed phone number is (858) 966-6764.

What is Maria Herrera's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Maria Herrera enrolled in Medicare?

Yes. Maria Herrera is registered in the Medicare PECOS enrollment system.

What insurance does Maria Herrera accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Maria Herrera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Herrera was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.