MIKE HERRERA — NPI 1245050897 (Licensed & Credentialed Prevention Professional in BAKER, CA)

CMS-1500 Box 24J / 33a • NPI

1245050897

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

405300000X

Licensed & Credentialed Prevention Professional

Box 32 Service Location & ZIP+4

57131 LAKEVIEW RD, BAKER, CA, 92309

Official NPPES Practice Location

Practice Phone & Referral Fax

(909) 389-8582

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1245050897 (MIKE HERRERA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1245050897` (NPI-1 Individual Practitioner)
Provider / Legal Name	MIKE HERRERA
Plain-English Specialty	Licensed & Credentialed Prevention Professional NUCC Code: `405300000X` (Prevention Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	57131 LAKEVIEW RD, BAKER, CA, 92309
Practice Telephone / Fax	Tel: (909) 389-8582
Administrative Mailing Address	1366 WHITEWOOD DR, MENTONE, CA, 92359-1623
Enumeration & Last Sync	Enumerated: 2024-10-16 \| CMS Record Updated: 2024-10-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

57131 LAKEVIEW RD, BAKER, CA, 92309

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Plain-English Taxonomy & CMS Crosswalk (405300000X)

What Does Taxonomy Code 405300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 405300000X translates to:
"Licensed & Credentialed Prevention Professional"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prevention Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MIKE HERRERA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`405300000X` — Prevention Professional Plain English: Licensed & Credentialed Prevention Professional	State: CA \| License: `360159AP` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MIKE HERRERA (NPI #1245050897)