Individual provider Active NPI

Hailey Heer, MD

  • Pediatrics Physician
  • Pasadena, CA
National Provider Identifier
1215565601
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A185434 Issued in CA
Practice address
800 Fairmount Ave Ste 310
Pasadena, CA 91105-3153
Phone
(626) 449-7350
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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
Pediatrics Physician 208000000X A185434 CA Primary

Addresses

Primary practice location

800 Fairmount Ave Ste 310
Pasadena, CA 91105-3153

Mailing address

969 Hilgard Ave Apt 605
Los Angeles, CA 90024-3052
Phone (949) 500-1253

Other names 1

  • Hailey Hogan Former name

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
I20230728000425 CA Practitioner - Pediatric Medicine 2668833310 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185434CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Pediatrics CurrentSince Jul 24, 2023 Accepting new patients
Huntington Medical Foundation Pediatrics Past Accepting new patients

Locations

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

800 Fairmount Ave
Ste 310
Pasadena, CA 91105
Phone (626) 449-7350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hheer447695@direct.cshs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1215565601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 HILGARD AVE APT 605",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243052",
            "telephone_number": "949-500-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053153",
            "telephone_number": "626-449-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEER",
        "first_name": "HAILEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A185434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "HOGAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.