Individual provider Active NPI

Michael Preston Heinbach, AGACNP-BC, ACCNS-AG

  • Gerontology Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1013654995
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95017584 Issued in CA
Practice address
505 Parnassus Ave # 7Long
San Francisco, CA 94143-2204
Phone
(415) 353-1387
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 95017584 CA
Gerontology Nurse Practitioner 363LG0600X 95017584 CA Primary

Addresses

Primary practice location

505 Parnassus Ave # 7Long
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave # 7Long
San Francisco, CA 94143-2204
Phone (415) 353-1387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722001155 CA Practitioner - Nurse Practitioner 1850772765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jul 15, 2022 Accepting new patients
University of California San Francisco CurrentSince Jul 15, 2022 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Medical Group Business Services Neurological Surgery Past Accepting new patients

Locations

505 Parnassus Ave
#7
San Francisco, CA 94143
Phone (415) 353-1387

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
Fl 2A2300
San Francisco, CA 94143

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Interoperability endpoints

  • Direct secure messaging: mheinbach54508@direct-ucsfmedicalcenter.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1013654995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # 7LONG",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # 7LONG",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINBACH",
        "first_name": "MICHAEL",
        "middle_name": "PRESTON",
        "credential": "AGACNP-BC, ACCNS-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "95017584",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95017584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.