Organization Active NPI

Heritage Health Network LLC

  • Case Manager/Care Coordinator
  • Lynwood, CA
National Provider Identifier
1326804527
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
HERITAGE HEALTH NETWORK LLC
Practice address
3740 E Imperial Hwy
Lynwood, CA 90262-2759
Phone
(866) 744-1231
Fax
(909) 966-4069
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Mr. Cameron Stewart, BOCO, BOCP, CEAC
Title
Ceo
Phone
(909) 573-5690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

3740 E Imperial Hwy
Lynwood, CA 90262-2759

Mailing address

7056 Archibald Ave Ste 102-314
Corona, CA 92880-8713
Phone (866) 744-1231

National Provider Directory

National Provider Directory
Tax ID family
Heritage Health Network LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1326804527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVE STE 102-314",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928808713",
            "telephone_number": "866-744-1231",
            "fax_number": "909-966-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622759",
            "telephone_number": "866-744-1231",
            "fax_number": "909-966-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-573-5690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOCO, BOCP, CEAC"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.