Gretchen a Hetzler MD Incorporated

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G058400 Issued in CA

Legal business name

GRETCHEN A HETZLER MD INCORPORATED

Practice address

10861 Cherry St
Suite 300
Los Alamitos, CA 90720-5402

Phone

(562) 594-8320

Fax

(562) 594-9757

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gretchen Hetzler, MDNPI 1699861526

Title

Owner

Phone

(562) 594-8320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gretchen Ann Hetzler, M.D..

  • Gynecology Physician
  • Los Alamitos, CA
  • NPI 1699861526
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1487849238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-594-8320",
            "fax_number": "562-594-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST",
            "address_2": "SUITE 300",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "562-594-8320",
            "fax_number": "562-594-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN A HETZLER MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "HETZLER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-594-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G058400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mary Gray, PH.D.
• Franklin Pierce Green, DDS
• George Franklin Green, D.D.S.
• Green, Stuart & Marinow, Harry & Bonfilio, Nicholas & Feiwell, Lawrenc (Greater Long Beach Orthopaedic Surgical & Medical Group a Ptrshp)
• Stuart Alan Green, M.D.
• Susan Grinberg-Smith, LCSW
• Danielle Jansen Grissom, PPS
• Steven Gros, PSY.D
• Luis Gudino, NP
• Channa Chiccarelli Guerra

• Gynecology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.