Organization Active NPI

Heidi's Image Enhancement Clinic

  • Prosthetic/Orthotic Supplier
  • Union City, CA
National Provider Identifier
1023251691
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
KK316787 Issued in CA
Legal business name
HEIDI'S IMAGE ENHANCEMENT CLINIC
Practice address
2600 Central Ave
Suite E
Union City, CA 94587-3187
Phone
(510) 714-8392
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mrs. Heidi White Oatis, CMF
Title
Office Manager/ Lea Fitter
Phone
(510) 489-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X KK316787 CA Primary

Addresses

Primary practice location

2600 Central Ave
Suite E
Union City, CA 94587-3187

Mailing address

32720 Regents Blvd
Union City, CA 94587-5405
Phone (510) 489-8400

National Provider Directory

National Provider Directory

Locations

2600 Central Ave
Ste E
Union City, CA 94587
Phone (510) 714-8392

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1023251691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32720 REGENTS BLVD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945875405",
            "telephone_number": "510-489-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CENTRAL AVE",
            "address_2": "SUITE E",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873187",
            "telephone_number": "510-714-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI'S IMAGE ENHANCEMENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "OATIS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OFFICE MANAGER/ LEA FITTER",
        "authorized_official_telephone_number": "510-489-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "KK316787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.