DR. JOSE F HERRERA M.D.
NPI 1356420053
Family Medicine in West Covina, CA

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
1135 S SUNSET AVE, SUITE 211, WEST COVINA, CA 91790(626) 337-1800(626) 337-1449 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jose F Herrera M.d. NPPES

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

DR. JOSE F HERRERA M.D. (NPI 1356420053) is an individual family medicine provider in West Covina, California, licensed in California (A066516) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1997).

NPPES Registry Identity

NPI1356420053
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE F HERRERACredential: M.D.
Location Address1135 S SUNSET AVE, SUITE 211West Covina, CA 91790-3937
Mailing Address1135 S Sunset Ave, Suite 211West Covina, CA 91790-3937 · (626) 337-1800 · Fax (626) 337-1449
Fax(626) 337-1449
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1997
Enumeration DateNovember 3, 2006
Last NPPES UpdateApril 9, 2013
NPI 1356420053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A066516
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1135 S SUNSET AVE, West Covina, CA 91790

Other Identifiers 3

Medicare UPINH11231
Medicaid000A066516CA
Medicare ID-Type UnspecifiedW15228

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose F Herrera M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557520483
PECOS Enrollment IDI20120312000757
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers22 claims58 services$5.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims17 services$1.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$56.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
1135 S SUNSET AVE
WEST COVINA, CA 91790
Clinic/Center
1135 S SUNSET AVE, SUITE 307
WEST COVINA, CA 91790
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1135 S SUNSET AVE, STE 402
WEST COVINA, CA 91790
Pediatrics (Neonatal-Perinatal Medicine)
1135 S SUNSET AVE
WEST COVINA, CA 91790
Obstetrics & Gynecology
1135 S SUNSET AVE, SUITE #303
W COVINA, CA 91790
Clinic/Center (Medical Specialty)
1135 S SUNSET AVE, #206
WEST COVINA, CA 91790
Clinic/Center (Sleep Disorder Diagnostic)
1135 S SUNSET AVE, SUITE 307
WEST COVINA, CA 91790
Specialist
1135 S SUNSET AVE, SUITE 315
WEST COVINA, CA 91790

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 Jose Herrera's NPI number?

The NPI number for Jose Herrera is 1356420053. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Jose Herrera located?

Jose Herrera practices at 1135 S Sunset Ave Suite 211, West Covina, CA 91790. The listed phone number is (626) 337-1800.

What is Jose Herrera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Herrera enrolled in Medicare?

Yes. Jose Herrera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Herrera was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.