Heather Randell Deja, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295310 Issued in CA

Practice address

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223

Phone

(858) 966-8100

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1225510563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 PELL PL UNIT 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304141",
            "telephone_number": "714-654-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJA",
        "first_name": "HEATHER",
        "middle_name": "RANDELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Deirmenjian
• Kelsie Kate Deisinger
• Robert Gerald Deiss, MD
• Sarah Deitch
• Hana Skye Deitelbaum
• Amelia Picones Dejesus, FNP
• Brittany Dejesus
• Elizabeth D Dejesus, RPH
• Renato Legaspi Dejesus, MHA
• Shannon Yandall Dejesus, AMFT

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.