Organization Active NPI

Joel M Heiser MD Inc

  • Orthopaedic Surgery Physician
  • Vista, CA
National Provider Identifier
1003923517
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G32046 Issued in CA
Legal business name
JOEL M HEISER MD INC
Practice address
2023 W Vista Way Ste B
Vista, CA 92083
Phone
(760) 726-5800
Fax
(760) 726-5942
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joel M Heiser, MD
Title
Owner
Phone
(760) 726-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X G32046 CA Primary

Addresses

Primary practice location

2023 W Vista Way Ste B
Vista, CA 92083

Mailing address

2023 W Vista Way Ste B
Vista, CA 92083
Phone (760) 726-5800

Other identifiers 1

IdentifierTypeStateIssuer
00G320460MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1003923517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92083",
            "telephone_number": "760-726-5800",
            "fax_number": "760-726-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92083",
            "telephone_number": "760-726-5800",
            "fax_number": "760-726-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M HEISER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "HEISER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-726-5800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G32046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G320460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.