Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IVAN HERRERA HERNANDEZ
NPI 1306358064
Registered Nurse in Stockton, CA

Q: What is Ivan Herrera Hernandez's NPI number?

The NPI number for Ivan Herrera Hernandez is 1306358064. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Q: What is Ivan Herrera Hernandez's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Active since November 02, 2017

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 280-5923 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 18, 2026, Nov 2, 2017 (2 updates tracked since 2017).

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About Ivan Herrera Hernandez NPPES

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

IVAN HERRERA HERNANDEZ (NPI 1306358064) is an individual registered nurse in Stockton, California, licensed in California (95375269) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1306358064

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameIVAN HERRERA HERNANDEZ

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 280-5923

Phone(209) 280-5923

Sole ProprietorYes

Enumeration DateNovember 2, 2017

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1306358064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 95375269

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedLicensed Psychiatric TechnicianTaxonomy 167G00000X · License 40627 (CA)

1212 N CALIFORNIA ST, Stockton, CA 95202

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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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))