JESSICA CHARLOTTE HEROLD – Physician Assistant, NPI 1407376940

JESSICA CHARLOTTE HEROLD is a healthcare provider. based in Downey, California. specializing in Physician Assistant. They hold a License No. PA54694 (CA). The NPI Number for JESSICA CHARLOTTE HEROLD is 1407376940

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA CHARLOTTE HEROLD
NPI
1407376940
Phone
(562) 923-3001
Address
8345 FIRESTONE BLVD STE 310
Enumeration Date
26 June 2017
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5629233001
Graduation Year
2014 (12 years ago)
PAC ID
2264792571
Group Practice PAC ID
1850395070
Professional Enrollment ID
I20180206002161
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for JESSICA CHARLOTTE HEROLD

  • Firestone Boulevard, Downey, Los Angeles County, California, 90241, United States

    DOWNEY, CA 902413872

    Phone: (562) 923-3001

    Type: Mailing

  • 4836 VAN NUYS BLVD

    SHERMAN OAKS, CA 914032101

    Phone: (818) 907-7546

    Fax: (818) 907-9506

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,866.

Total Amount is formed as General ($1,866) + Research ($0) + Ownership ($0) = $1,866.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Lilly USA, LLC ($300).

Total Amount

$1,866

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180206002161IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg4,40020$0
17003Destruction of precancer skin growth, 2-14 growths76390$0
99213Established patient office or other outpatient visit, 20-29 minutes372192$0
17000Destruction of precancer skin growth, 1 growth180105$0
11102Biopsy of related skin growth, first growth139105$0
View full utilization report →

Insurance plans in this area (ZIP 90241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850395070View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Nurse PractitionerCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
-CA
Nurse PractitionerIL
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for JESSICA CHARLOTTE HEROLD in the U.S.?
In the U.S., JESSICA CHARLOTTE HEROLD is identified by NPI 1407376940.
Does the public listing show JESSICA CHARLOTTE HEROLD as active?
JESSICA CHARLOTTE HEROLD's NPI record reflects an active status in NPPES.
What type of care does JESSICA CHARLOTTE HEROLD provide?
JESSICA CHARLOTTE HEROLD's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JESSICA CHARLOTTE HEROLD?
JESSICA CHARLOTTE HEROLD is associated with Downey, California in the same public data insurers reference.
Why is information missing for JESSICA CHARLOTTE HEROLD?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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