NPIMap

Individual provider Active NPI

Andrew Warren Hesseltine, MD

  • Pain Medicine (Anesthesiology) Physician
  • Colton, CA
National Provider Identifier
1467438036
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A66517 Issued in CA
Practice address
1850 E Washington St
Colton, CA 92324-4621
Phone
(909) 887-2991
Fax
(909) 887-5694
NPI assigned
Dec 15, 2005
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A66517 CA Primary

Addresses

Primary practice location

1850 E Washington St
Colton, CA 92324-4621

Mailing address

1850 E Washington St
Colton, CA 92324-4621
Phone (909) 887-2991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001495 CA Practitioner - AnesthesiologyPractitioner - Pain Management 1951394022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew W Hesseltine MD IncGroup PAC ID 8224088091, 9 clinicians

Practice addresses (Care Compare)

1850 E Washington St
Colton, CA 92324-4621

1850 Washington St
Colton, CA 92324-4621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66517CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew W Hesseltine, M.D., Inc Pain Medicine CurrentSince Aug 1, 2002 Accepting new patients
BL Anderson Medical Corporation CurrentSince Apr 12, 2021 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Andrew W. Hesseltine M.D., Inc PastSince Jan 1, 1990 Accepting new patients
Rancho Cucamonga Community Hospital, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Community Hospital of San Bernardino Ophthalmology Past Accepting new patients
A&M Surgery Center, Inc. Pain Medicine PastSince Aug 5, 2015 Accepting new patients

Locations

851 E Sixth St
#A
Beaumont, CA 92223

851 E Sixth St
Ste A
Beaumont, CA 92223

1850 E Washington St
Colton, CA 92324
Phone (909) 233-7057

36915 Cook St
Ste 102
Palm Desert, CA 92211
Phone (760) 969-5200

36915 Cook St
Ste 120
Palm Desert, CA 92211

36915 Cook St
Ste E102
Palm Desert, CA 92211

10890 Thornmint Rd
Ste 202
San Diego, CA 92127
Phone (855) 745-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ahesseltine53357@direct.llu.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAAEDD

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 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1467438036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244621",
            "telephone_number": "909-887-2991",
            "fax_number": "909-887-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244621",
            "telephone_number": "909-887-2991",
            "fax_number": "909-887-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSELTINE",
        "first_name": "ANDREW",
        "middle_name": "WARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A66517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.