Andrew W Hesseltine, M.D., Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A66517 Issued in CA

Legal business name

ANDREW W HESSELTINE, M.D., INC

Doing business as

Inland Pain Medicine

Practice address

1850 E Washington St
Colton, CA 92324-4621

Phone

(909) 887-2991

Fax

(909) 887-5694

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Andrew W Hesseltine, M.D.NPI 1467438036

Title

Medical Director

Phone

(909) 887-2991

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Inland Pain Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAAEDD

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Andrew W. Hesseltine M.D., Inc

  • Non-Pharmacy Dispensing Site
  • Colton, CA
  • NPI 1396038105
  NPPES parent name

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Warren Hesseltine, MD

  • Pain Medicine (Anesthesiology) Physician
  • Colton, CA
  • NPI 1467438036
  Medicare reassignment Care Compare group NPD Authorized official
• William Habib Abboud, DC

  • Chiropractor
  • Riverside, CA
  • NPI 1639203656
  Medicare reassignment Care Compare group NPD
• Charles Edward Anderson Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Palm Springs, CA
  • NPI 1386646347
  Medicare reassignment Care Compare group NPD
• Melissa Lynn Beaufoy, FNP

  • Family Nurse Practitioner
  • Newport Beach, CA
  • NPI 1972390151
  Medicare reassignment Care Compare group NPD
• Travis Patrick Martin, MD

  • Pain Medicine Physician
  • Loma Linda, CA
  • NPI 1053874305
  Medicare reassignment Care Compare group NPD
• Mahmood Fathollazadeh, PA-C

  • Physician Assistant
  • Colton, CA
  • NPI 1386711158
  Medicare reassignment Care Compare group
• Francisco Javier Felix, PA-C

  • Physician Assistant
  • Colton, CA
  • NPI 1730770942
  Medicare reassignment Care Compare group
• Maxine Leah Malekmehr

  • Physician Assistant
  • Colton, CA
  • NPI 1871282152
  Medicare reassignment Care Compare group
• Sabrina Renee Sadighi, PA

  • Physician Assistant
  • Colton, CA
  • NPI 1548130719
  Medicare reassignment Care Compare group
• Yogesh V Patel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Carlsbad, CA
  • NPI 1447419833
  Medicare reassignment NPD
• Charlie Nahm, MD

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1033385307

  CA

  Medicare reassignment NPD
• Reina Anne Briganti, FNP

  • Nurse Practitioner
  • San Bernardino, CA
  • NPI 1871543397
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1184766685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244621",
            "telephone_number": "909-887-2991",
            "fax_number": "909-887-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244621",
            "telephone_number": "909-887-2991",
            "fax_number": "909-887-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW W HESSELTINE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "HESSELTINE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-887-2991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A66517",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "18753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME PERMIT",
            "identifier": "FNP 34858",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inland Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlyn Olivia Anderson, DO
• David C. Anderson, PH.D.
• Ebony Anderson
• Christopher Andraos, MD
• Amber Andreatta
• Andrew W. Hesseltine M.D., Inc
• Catherine C Angeles
• Tony Wayne Angelo
• Angels in Route, LLC
• Tiffany Angkadjaja

• Pain Medicine (Anesthesiology) Physician in Colton, CA
• Providers in Colton, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.