Individual provider Active NPI

Matthew Aaron Hiersche, M.D.

  • Plastic Surgery Physician
  • Madera, CA
National Provider Identifier
1144462508
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A116201 Issued in CA
Practice address
9300 Valley Childrens PL
Plastic Surgery Department, Mail Stop Ge07
Madera, CA 93636-8761
Phone
(909) 363-6759
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Plastic Surgery Physician 208200000X A116201 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL
Plastic Surgery Department, Mail Stop Ge07
Madera, CA 93636-8761

Mailing address

Mail Stop Ge07 Plastic Surgery Department,
Valley Children's Hospital
Madera, CA 93638
Phone (909) 363-6759

Other identifiers 1

IdentifierTypeStateIssuer
1144462508MedicaidCA

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
I20160705001459 CA Practitioner - Plastic and Reconstructive Surgery 2163723446 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116201CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children's Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

1125 E Spruce Ave
Ste 101
Fresno, CA 93720
Phone (559) 256-5760

9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
Stop GE7
Madera, CA 93636
Phone (909) 363-6759

9300 Valley Childrens Pl
#12
Madera, CA 93636
Phone (559) 353-5068

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Interoperability endpoints

  • Direct secure messaging: mhiersche15844@valleychildrens-prd.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1144462508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIL STOP GE07 PLASTIC SURGERY DEPARTMENT,",
            "address_2": "VALLEY CHILDREN'S HOSPITAL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93638",
            "telephone_number": "909-363-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "PLASTIC SURGERY DEPARTMENT, MAIL STOP GE07",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "909-363-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERSCHE",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A116201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144462508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.