Individual provider Active NPI

Heather Miller Kurera, D.O.

  • Psychiatry Physician
  • Pomona, CA
National Provider Identifier
1144228396
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A 12214 Issued in CA
Practice address
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone
(909) 398-4383
Fax
(909) 398-0127
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A 12214 CA Primary
Psychiatry Physician 2084P0800X 02002891A IN

Addresses

Primary practice location

831 E Arrow Hwy
Pomona, CA 91767-2535

Mailing address

831 E Arrow Hwy
Pomona, CA 91767-2535

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110317000163 CA Practitioner - PsychiatryPractitioner - Osteopathic Manipulative Medicine 1355523036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Osteopathic Manipulative Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Wellness PartnersGroup PAC ID 0749531259, 6 clinicians
TMS Neurohealth West Professional Medical CorporationGroup PAC ID 1254605140, 13 clinicians

Practice addresses (Care Compare)

820 N Mountain Ave
Suite 215
Upland, CA 91786-4163
Phone (909) 920-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 12214CAMDPsychiatry Physician
02002891AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Wellness Partners Psychiatry CurrentSince Mar 15, 2018 Accepting new patients
TMS Neurohealth West Professional Medical Corporation Psychiatry CurrentSince Jan 1, 2019 Accepting new patients
FRN San Francisco, LLC Past Accepting new patients
Social Model Recovery Systems, Inc. Past Accepting new patients
Psychiatric Services Incorporated Psychiatry Past Accepting new patients

Locations

29800 Agoura Rd
Ste 200
Agoura Hills, CA 91301
Phone (818) 706-9300

30343 Canwood St
Ste 104
Agoura Hills, CA 91301
Phone (818) 706-9300

17782 Cowan
Ste C
Irvine, CA 92614
Phone (844) 467-3867

72980 Fred Waring Dr
Ste C
Palm Desert, CA 92260
Phone (844) 467-3867

1450 Frazee Rd
Ste 210
San Diego, CA 92108
Phone (844) 467-3867

16835 W Bernardo Dr
Ste 202
San Diego, CA 92127
Phone (844) 467-3867

3220 S Higuera St
Ste 306
Sn Luis Obisp, CA 93401
Phone (561) 385-4855

820 N Mountain Ave
Ste 215
Upland, CA 91786
Phone (844) 467-3867

Interoperability endpoints

  • Direct secure messaging: heather.kurera.1@18773.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1144228396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 E ARROW HWY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E ARROW HWY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672535",
            "telephone_number": "909-398-4383",
            "fax_number": "909-398-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURERA",
        "first_name": "HEATHER",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A 12214",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02002891A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.