Active NPI
Mauricio J. Heilbron Jr., M.D.
- Trauma Surgery Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- GO82239
- Practice address
- 1045 Atlantic Ave
Suite 1002
Long Beach, CA 90813-3408 - Phone
- (562) 435-5511
- Fax
- (562) 435-7503
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | GO82239 | CA | |
| Trauma Surgery Physician | 2086S0127X | GO82239 | CA | Primary |
Addresses
Primary practice location
1045 Atlantic Ave
Suite 1002
Long Beach, CA 90813-3408
Mailing address
1045 Atlantic Ave
Suite 1002
Long Beach, CA 90813-3408
Phone (562) 435-5511
Other practice location 1
300 Redondo Ave
Long Beach, CA 90814-2651
Phone (562) 296-8050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Creighton University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Redondo Ave B
Long Beach, CA 90814-2651
Phone (562) 433-7496
700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-1234
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 38.53 of 100
- Quality
- 20.07
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 75.03
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 73.31
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 12 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GO82239 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Mendocino Coast | Current | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Current | Accepting new patients | |
| Prohealth Partners a Medical Group | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Adventist Health Mendocino Coast | Current | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| General Surgeons of Long Beach | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Locations
700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234
1045 Atlantic Ave
Ste 1002
Long Beach, CA 90813
Phone (562) 432-7407
300 Redondo Ave
Ste B
Long Beach, CA 90814
Phone (562) 433-7496
1040 Elm Ave
Ste 303
Long Beach, CA 90813
Phone (562) 436-9645
300 Redondo Ave
Long Beach, CA 90814
Phone (562) 433-7496
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
3742 Katella Ave
Ste 303
Los Alamitos, CA 90720
Phone (562) 296-8050
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
10861 Cherry St
Ste 104
Los Alamitos, CA 90720
Phone (562) 431-8771
3791 Katella Ave
Ste 107
Los Alamitos, CA 90720
Phone (562) 296-8050
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
- jheilbron183118@direct.memorialcare.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mendocino Coast District Hospital
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
dba Mendocino Coast District Hospital
- Rural Health Clinic/Center
- Fort Bragg, CA
- NPI 1124220249
-
- Nephrology Physician
- Los Alamitos, CA
- NPI 1972637890
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1447382411
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Surgery Physician
- Long Beach, CA
- NPI 1568550176
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
dba Los Alamitos Medical Center
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mendocino Coast District Hospital
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386732915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "SUITE 1002",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133408",
"telephone_number": "562-435-5511",
"fax_number": "562-435-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVE",
"address_2": "SUITE 1002",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133408",
"telephone_number": "562-435-5511",
"fax_number": "562-435-7503"
}
],
"practiceLocations": [
{
"address_1": "300 Redondo Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908142651",
"country_code": "US",
"telephone_number": "562-296-8050",
"fax_number": "562-296-8197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEILBRON",
"first_name": "MAURICIO",
"middle_name": "J.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "GO82239",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "GO82239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.