Active NPI
William Lenox Heimer II, M.D.
- Procedural Dermatology Physician
- Encinitas, CA
National Provider Identifier
1225147481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- G85498
- Practice address
- 320 Santa Fe Drive
Suite 310
Encinitas, CA 92024-5138 - Phone
- (760) 944-7000
- Fax
- (760) 944-1556
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | G85498 | CA | Primary |
Addresses
Primary practice location
320 Santa Fe Drive
Suite 310
Encinitas, CA 92024-5138
Mailing address
320 Santa Fe Dr
Suite 310
Encinitas, CA 92024-5138
Phone (760) 944-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G854980 | Other | BLUE CROSS/BLUE SHIELD | |
| 330900346 | Other | TRICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85498 | CA | MD | Marriage & Family Therapist |
| G85498 | CA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert B. Rhoades MD, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy Physician
- Martinez, GA
- NPI 1962471516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1225147481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SANTA FE DR",
"address_2": "SUITE 310",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "760-944-7000",
"fax_number": "760-944-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SANTA FE DRIVE",
"address_2": "SUITE 310",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "760-944-7000",
"fax_number": "760-944-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMER",
"first_name": "WILLIAM",
"middle_name": "LENOX",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "G85498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "00G854980",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "330900346",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.