Richard Heidenfelder MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A79836 Issued in CA

Legal business name

RICHARD HEIDENFELDER MD

Practice address

447 9TH Ave
San Diego, CA 92101-7369

Phone

(619) 435-4088

Fax

(619) 435-4088

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Richard Paul Heidenfelder, MDNPI 1700984911

Title

President

Phone

(619) 435-4088

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Paul Heidenfelder, M.D.

  • Child & Adolescent Psychiatry Physician
  • Fresno, CA
  • NPI 1700984911
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1255542908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 ORANGE AVE # 605",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182619",
            "telephone_number": "619-435-4088",
            "fax_number": "619-435-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 9TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017369",
            "telephone_number": "619-435-4088",
            "fax_number": "619-435-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HEIDENFELDER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "HEIDENFELDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-435-4088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A79836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00798360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D Katnik DDS Inc
• Richard D Perlman MD MPH Inc
• Richard F. Santore, M.D. Inc
• Richard Greenfield M D a Medical Corporation
• Richard H Bellars MD Inc
• Richard J Ewing DDS Inc.
• Richard L Buccigross MD a Medical Corporation
• Richard L. Fassett, M.D., Inc. Joseph E. Allen, M.D., Inc.
• Richard L.Kornberg, M.D.a Professional Corporation
• Richard Leung M D Inc a Professional Medical Corporation

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.