Active NPI
Jason Heinzeroth, C.P.
- Prosthetist
- Monterey, CA
National Provider Identifier
1174969463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CP003844
- Practice address
- 1011 Cass St
Suite 112
Monterey, CA 93940-4518 - Phone
- (831) 375-2300
- Fax
- (831) 378-5240
- NPI assigned
- May 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CP003844 | DE | Primary |
Addresses
Primary practice location
1011 Cass St
Suite 112
Monterey, CA 93940-4518
Mailing address
1011 Cass St
Suite 112
Monterey, CA 93940-4518
Phone (408) 500-8305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003844 | DE | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1174969463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 CASS ST",
"address_2": "SUITE 112",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404518",
"telephone_number": "408-500-8305",
"fax_number": "831-375-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 CASS ST",
"address_2": "SUITE 112",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404518",
"telephone_number": "831-375-2300",
"fax_number": "831-378-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZEROTH",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "DE",
"license": "CP003844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.