Active NPI
Laurence Jay Heifetz, MD
- Medical Oncology Physician
- Truckee, CA
National Provider Identifier
1457382079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- G26341
- Practice address
- 10956 Donner Pass Rd
Suite 210
Truckee, CA 96161-4861 - Phone
- (530) 582-6450
- Fax
- (530) 550-8169
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | G26341 | CA | Primary |
| Medical Oncology Physician | 207RX0202X | F0507 | TX |
Addresses
Primary practice location
10956 Donner Pass Rd
Suite 210
Truckee, CA 96161-4861
Mailing address
10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 582-6450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G26341 | CA | MD | Medical Oncology Physician |
| F0507 | TX | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heifetz & Palmer, MD'S, a Medical Corporation | Medical Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Oncology Physician
- Truckee, CA
- NPI 1417068867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1457382079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614835",
"telephone_number": "530-582-6450",
"fax_number": "530-582-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD",
"address_2": "SUITE 210",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614861",
"telephone_number": "530-582-6450",
"fax_number": "530-550-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIFETZ",
"first_name": "LAURENCE",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CA",
"license": "G26341",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "F0507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
- Karen Hatcher
- Karen Haws, P.T.
- Kelly Lynn Hayes, MS, LMFT, LPCC
- Heart Connection Therapy- Marriage and Family Therapy Incorporated
- Heifetz & Palmer, MD'S, a Medical Corporation
- Jamie Hendrix
- Edward Heneveld, MD
- Consuelo Lizet Hernandez, MA, LPCC
- Hilda Belen Rojas Hernandez
- Brandey Pallares Herrera, MS, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.