Individual provider Active NPI

Joan Gabriella Heinsheimer, MD

  • General Practice Physician
  • Albany, CA
National Provider Identifier
1144391970
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G037147 Issued in CA
Practice address
400 Evelyn Ave
Suite 221
Albany, CA 94706-1372
Phone
(510) 220-6668
Fax
(510) 778-9061
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G037147 CA Primary
General Practice Physician 208D00000X G037147 PA

Addresses

Primary practice location

400 Evelyn Ave
Suite 221
Albany, CA 94706-1372

Mailing address

6159 Bernhard Ave
Richmond, CA 94805-1230
Phone (510) 220-6668

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
I20110104000714 CA Practitioner - General Practice 6204025422 Practice locations: Albany, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Medical College of Pennsylvania, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Evelyn Ave
Suite 221
Albany, CA 94706-1375
Phone (510) 778-9061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G037147CAMDGeneral Practice Physician
G037147PAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1144391970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6159 BERNHARD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051230",
            "telephone_number": "510-220-6668",
            "fax_number": "510-778-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EVELYN AVE",
            "address_2": "SUITE 221",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061372",
            "telephone_number": "510-220-6668",
            "fax_number": "510-778-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSHEIMER",
        "first_name": "JOAN",
        "middle_name": "GABRIELLA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G037147",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "G037147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.