Healthcare Provider Details

I. General information

NPI: 1457126732
Provider Name (Legal Business Name): JOY HERMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 RIVER OAKS PKWY STE H
SAN JOSE CA
95134-1988
US

IV. Provider business mailing address

670 RIVER OAKS PKWY STE H
SAN JOSE CA
95134-1988
US

V. Phone/Fax

Practice location:
  • Phone: 408-645-6801
  • Fax: 669-500-7491
Mailing address:
  • Phone:
  • Fax: 669-500-7491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number95028045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: