HERA OBGYN MEDICAL GROUP, INC.
NPI 1992710768
Obstetrics & Gynecology in Modesto, CA

Active since July 30, 2006CLIA 05D0687995 · Microscopy
1552 COFFEE RD, 1ST FLOOR, MODESTO, CA 95355(209) 521-4372(209) 523-2005 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hera Obgyn Medical Group, Inc. NPPES

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

HERA OBGYN MEDICAL GROUP, INC. (NPI 1992710768) is a healthcare organization registered as an obstetrics & gynecology in Modesto, California and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Lisa Hill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992710768
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameHERA OBGYN MEDICAL GROUP, INC.
Location Address1552 COFFEE RD, 1ST FLOORModesto, CA 95355-3107
Mailing Address1552 Coffee Rd, 1st FloorModesto, CA 95355-3107 · (209) 521-4372 · Fax (209) 523-2005
Fax(209) 523-2005
Organization SubpartNo
Authorized OfficialLisa HillOffice Manager · (209) 521-4372
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 24, 2020
✔ NPI 1992710768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1552 COFFEE RD, Modesto, CA 95355

Other Identifiers 2

OtherZZZ04654ZCA · Blue Shield Of Ca
MedicaidGR01402490CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hera Obgyn Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Hera Obgyn Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Obstetrics/Gynecology
NPI 1528414133
1552 COFFEE RD
Modesto, CA 95355
(209) 521-4372
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1124418835
1552 COFFEE RD FL 1
Modesto, CA 95355
(209) 521-4372
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1679923387
1552 COFFEE RD FL 1
Modesto, CA 95355
(209) 521-4372
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1235576638
1552 COFFEE RD
Modesto, CA 95355
(209) 521-4372
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1427008028
1552 COFFEE RD
Modesto, CA 95355
(209) 521-4372
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1225216393
1409 E BRIGGSMORE AVE
Modesto, CA 95355
(209) 524-1211
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1619310737
1401 SPANOS CT STE 230
Modesto, CA 95355
(209) 569-7408
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1134748189
1401 SPANOS CT
Modesto, CA 95355
(209) 550-4720
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1346400306
650 DEL PRADO BLVD S STE 107
Cape Coral, FL 33990
(239) 343-9888
✔ PECOS2,391 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0687995

Hera Ob-Gyn Medical Group Inc · Modesto, CA
Active · expires Aug 31, 2028
CLIA Number05D0687995
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorEsther J. Tow-Der
Laboratory Phone(209) 521-4372
Laboratory LocationHera Ob-Gyn Medical Group Inc1552 Coffee Rd, 1st Floor, Modesto, CA 95355
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Hera Obgyn Medical Group, Inc.'s NPI number?

The NPI number for Hera Obgyn Medical Group, Inc. is 1992710768. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Hera Obgyn Medical Group, Inc. located?

Hera Obgyn Medical Group, Inc. is located at 1552 Coffee Rd 1st Floor, Modesto, CA 95355. The listed phone number is (209) 521-4372.

What is Hera Obgyn Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Hera Obgyn Medical Group, Inc. enrolled in Medicare?

Yes. Hera Obgyn Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hera Obgyn Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Hera Obgyn Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hera Obgyn Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0687995) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hera Obgyn Medical Group, Inc. was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.