Active NPI
Kurt A Heiner, MD
- Emergency Medicine Physician
- Burlingame, CA
National Provider Identifier
1467885764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C41094
- Practice address
- 1290 Oak Grove Ave
Ste B
Burlingame, CA 94010-3737 - Phone
- (650) 796-9330
- Fax
- (650) 685-8230
- NPI assigned
- Aug 10, 2013
- Last updated
- Sep 2, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C41094 | CA | Primary |
Addresses
Primary practice location
1290 Oak Grove Ave
Ste B
Burlingame, CA 94010-3737
Mailing address
1990North California Blvd, Ste 400
Walnut Creek, CA 94596
Phone (925) 482-8249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C41094 | Other | CA | STATE OF CALIFORNIA |
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 |
|---|---|---|---|
| 56035 | CA | MD | Dentist |
| C41094 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1467885764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990NORTH CALIFORNIA BLVD, STE 400",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94596",
"telephone_number": "925-482-8249",
"fax_number": "650-685-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 OAK GROVE AVE",
"address_2": "STE B",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103737",
"telephone_number": "650-796-9330",
"fax_number": "650-685-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINER",
"first_name": "KURT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-10",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C41094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA",
"identifier": "C41094",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
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- Healthy Horizons Lactation Services
- Beatriz Betsaida Heiser
- Mark Andrew Heitner, MD
- Suzan Helvaci-Sarikurt, MFTI
- Naomi Hemp, FNP
- Terrie Henderson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.