Provider Demographics
NPI:1457126732
Name:HERMAN, JOY (NP)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:HERMAN
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 RIVER OAKS PKWY STE H
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1988
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:669-500-7491
Practice Address - Street 1:670 RIVER OAKS PKWY STE H
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1988
Practice Address - Country:US
Practice Address - Phone:408-645-6801
Practice Address - Fax:669-500-7491
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine