Peter James Heitke, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

G46389 Issued in CA

Practice address

2305 Sunset Blvd
Rocklin, CA 95765-4337

Phone

(916) 632-9606

Fax

(916) 632-9706

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Sunnyvale, CA
  • NPI 1831665223
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114004801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SUNSET BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654337",
            "telephone_number": "916-632-9606",
            "fax_number": "916-632-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SUNSET BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654337",
            "telephone_number": "916-632-9606",
            "fax_number": "916-632-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITKE",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G46389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Den Counseling Services (The Healing Den Counseling Services)
• Bron Christopher Hedman, MD
• Tabatha Marie Heidbreder
• Shanti Marie Heindl
• Darlene Anne Heinz, P.T.
• Melissa Jayne Hempel
• Deanna Hendersen
• Michael Toledo Henderson, LMFT
• James Robert Henley Jr.
• Savannah Herbert, CCC-SLP

• Occupational Medicine Physician in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.