Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Louis E Herzog, NURSEPRACTITIONER

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1356830384

Mr. Louis E Herzog, NURSEPRACTITIONER is a Nurse Practitioner in Stockton, California. Qualified in 2018, 8 years ago. Practices with Cep America - Psychiatry PC, a 92-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Louisiana.

Years since qualifying
8
Licensed in
CA, LA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

7210 Murray Dr
Stockton, CA 95210
Phone: (209) 373-2800
Fax: (209) 373-2878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 — (225) 765-8964

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95009654 (CA)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence RN140980 (LA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP10024 (LA)

Record details

NPI number1356830384
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 4, 2018
Last updated in NPPESSeptember 8, 2018
Mailing address525 E State St, Baton Rouge, LA 70802-6929

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cep America - Psychiatry Pc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stockton