Individual provider Active NPI

David J Heaney, M.D.

  • Nephrology Physician
  • Visalia, CA
National Provider Identifier
1013902733
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A301420 Issued in CA
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

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A301420MedicaidCA
1013123686OtherCANPPES-TULARE LOCATION
1972710127OtherCANPPES-PORTERVILLE LOC.
942512154OtherCAFED TAX ID #
05D0864240OtherCACLIA NUMBER
1588879175OtherCANPPES-VISALIA LOCATION
A30142OtherCACALIF. MEDICAL BOARD

Other names 1

  • Dr. John David Heaney Other name

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

LicenseStateTypeSpecialty
A301420CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.