Healthcare Provider Details

I. General information

NPI: 1255244026
Provider Name (Legal Business Name): RICARDO JUAN HERRERA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3327 M ST STE A
MERCED CA
95348-2705
US

IV. Provider business mailing address

3215 WILLOW RUN DR
MERCED CA
95340-8314
US

V. Phone/Fax

Practice location:
  • Phone: 209-722-1030
  • Fax: 209-722-5408
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number311098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: