Individual provider Active NPI

Demetrio Hechanova, M.D.

  • Cardiovascular Disease Physician
  • Covina, CA
National Provider Identifier
1275584203
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A40661 Issued in CA
Practice address
315 N 3Rd Ave
Suite 207
Covina, CA 91723-1905
Phone
(626) 915-4700
Fax
(626) 214-7814
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A40661 CA Primary

Addresses

Primary practice location

315 N 3Rd Ave
Suite 207
Covina, CA 91723-1905

Mailing address

3452 E Foothill Blvd
Suite 130
Pasadena, CA 91107-3142
Phone (626) 793-2885

Other practice location 1

522 W Foothill Blvd
Ste 201
Glendora, CA 91741-2470
Phone (626) 915-4700

Other identifiers 1

IdentifierTypeStateIssuer
00A406610MedicaidCA

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
I20081022000295 CA Practitioner - Cardiovascular Disease (Cardiology) 9335147073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothill Cardiology Medical Group IncGroup PAC ID 8527049261, 36 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 215
Pasadena, CA 91105-2613
Phone (626) 793-4139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
86.41
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40661CAMDDentist
A40661CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Cardiology Medical Group Inc Cardiovascular Disease CurrentSince Jun 1, 1996 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

235 E Badillo St
Covina, CA 91723
Phone (626) 793-2885

315 N 3rd Ave
Ste 207
Covina, CA 91723
Phone (626) 915-4700

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

552 W Foothill Blvd
Ste 201
Glendora, CA 91741
Phone (626) 915-4700

625 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105
Phone (626) 793-4139

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: demetrio.hechanova.p166@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1275584203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 E FOOTHILL BLVD",
            "address_2": "SUITE 130",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073142",
            "telephone_number": "626-793-2885",
            "fax_number": "626-793-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "SUITE 207",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-915-4700",
            "fax_number": "626-214-7814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Foothill Blvd",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917412470",
            "country_code": "US",
            "telephone_number": "626-915-4700",
            "fax_number": "626-214-7815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECHANOVA",
        "first_name": "DEMETRIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A40661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A406610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.