Active NPI
David J Heaney, M.D.
- Nephrology Physician
- Visalia, CA
National Provider Identifier
1013902733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A301420
- Practice address
- 515 W Acequia Ave Ste a
Visalia, CA 93291-6131 - Phone
- (559) 733-9707
- Fax
- (559) 733-7009
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A301420 | CA | |
| Nephrology Physician | 207RN0300X | A301420 | CA | Primary |
Addresses
Primary practice location
515 W Acequia Ave Ste a
Visalia, CA 93291-6131
Mailing address
515 W Acequia Ave Ste a
Visalia, CA 93291-6131
Phone (559) 733-9707
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A301420 | Medicaid | CA | |
| 1013123686 | Other | CA | NPPES-TULARE LOCATION |
| 1972710127 | Other | CA | NPPES-PORTERVILLE LOC. |
| 942512154 | Other | CA | FED TAX ID # |
| 05D0864240 | Other | CA | CLIA NUMBER |
| 1588879175 | Other | CA | NPPES-VISALIA LOCATION |
| A30142 | Other | CA | CALIF. MEDICAL BOARD |
Other names 1
- Dr. John David Heaney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A301420 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- david.heaney.p1@direct.altura.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1013902733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W ACEQUIA AVE STE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916131",
"telephone_number": "559-733-9707",
"fax_number": "559-733-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W ACEQUIA AVE STE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916131",
"telephone_number": "559-733-9707",
"fax_number": "559-733-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEANEY",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A301420",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A301420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A301420",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES-TULARE LOCATION",
"identifier": "1013123686",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES-PORTERVILLE LOC.",
"identifier": "1972710127",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TAX ID #",
"identifier": "942512154",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "05D0864240",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES-VISALIA LOCATION",
"identifier": "1588879175",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF. MEDICAL BOARD",
"identifier": "A30142",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "HEANEY",
"middle_name": "DAVID",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.