Heartstone Ca Health Provider Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HEARTSTONE CA HEALTH PROVIDER INC

Practice address

3111 Los Feliz Blvd Ste 210
Los Angeles, CA 90039-1585

Phone

(415) 425-0684

NPI assigned

Aug 7, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Rance Pena

Title

Co-Owner

Phone

(818) 927-9576

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Joseph Lochinvar Dinglasan Sr MD Sr., M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Diamond Bar, CA
  • NPI 1144774613
  Medicare reassignment
• Kristyn P Gonzaga, NP

  • Primary Care Nurse Practitioner
  • Costa Mesa, CA
  • NPI 1750170411
  Medicare reassignment

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1386529469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391585",
            "telephone_number": "415-425-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391585",
            "telephone_number": "415-425-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSTONE CA HEALTH PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "RANCE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "818-927-9576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Check Los Angeles, LLC
• Heart for People la
• Heartbeat Medical Group of California, P.C.
• Wesley Randolph Heartfield, M.D.
• Heartland Adult Residential Facility
• Carmen E. Heath, MD
• Christina Heath
• Kaylynn Heath
• Sharon Katherine Heath, LMFT
• Victoria Heath

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.