Individual provider Active NPI

Mauricio J. Heilbron Jr., M.D.

  • Trauma Surgery Physician
  • Long Beach, CA
National Provider Identifier
1386732915
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
GO82239 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120402000281 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 6800056656 Reassigns benefits to 2 organizations
Practice locations: Los Alamitos, CA; Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Creighton University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Mendocino CoastGroup PAC ID 3678990769, 57 clinicians

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 100Reported as group
Quality
20.07
Promoting interoperability
0
Improvement activities
0
Cost
75.03

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)12
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GO82239CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Mendocino Coast CurrentSince Nov 12, 2023 Accepting new patients
Prohealth Partners a Medical Group Inc Current Accepting new patients
Prohealth Partners a Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
Adventist Health Mendocino Coast CurrentSince Nov 12, 2023 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.