Eileen Heng

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95008714 Issued in CA

Practice address

1110 W la Palma Ave Ste 1
Anaheim, CA 92801-2822

Phone

(714) 991-3180

Fax

(714) 742-7729

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3850/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1043878895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 BRADLEY DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201401",
            "telephone_number": "562-688-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LA PALMA AVE STE 1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012822",
            "telephone_number": "714-991-3180",
            "fax_number": "714-742-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENG",
        "first_name": "EILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "95008714",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95008714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Henderson, DDS
• Katharine J Henderson, BA
• Mary Catherine Henderson, P.T.
• Veronica Nyjah Henderson
• Katelynn Hendrix, MS, LMFT
• Janie Grace Henke
• Julie Ann Henriksen, MD
• Henry Hoang Tran, DMD, Inc.
• Henry Hoang Tran,DMD,Inc
• Kayla June Fausett Henry

• Pediatric Nurse Practitioner in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.