Angel Heredia
NPI 1417525056 · Rehabilitation Practitioner · San Jose, CA
Angel Heredia is a Rehabilitation Practitioner provider in San Jose, CA (NPI 1417525056).
Provider details
- NPI number
- 1417525056
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1500 E Hamilton AveCampbell, CA 95008-0809Phone: (408) 772-3775
Registry dates
- Enumerated
- 2021-06-10
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Angel Heredia's NPI number?
- Angel Heredia's National Provider Identifier (NPI) is 1417525056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angel Heredia's specialty?
- Angel Heredia is listed in the NPPES registry with a primary specialty of Rehabilitation Practitioner (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Angel Heredia located?
- Angel Heredia's practice location on file with NPPES is 425 E Santa Clara St, San Jose, CA 95113-1936.
- What is Angel Heredia's phone number?
- The practice phone number listed in the NPPES registry for Angel Heredia is (408) 800-4095.
- Is Angel Heredia's NPI active?
- Yes — Angel Heredia's NPI (1417525056) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.