Angelo Nicholas Heropoulos, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A048718 Issued in CA

Practice address

1141 Rose Ave
Selma, CA 93662-3241

Phone

(559) 891-6244

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anaheim Global Medical Center, Inc

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1790778488
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1497896799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 HILLSIDE AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256537",
            "telephone_number": "650-854-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623241",
            "telephone_number": "559-891-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROPOULOS",
        "first_name": "ANGELO",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A048718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A487180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Halderman, M.D.
• Dale Scott Henderson, F.N.P
• Janna Her, M.A., CCC-SLP
• Guadalupe Hernandez
• Lizbeth Hernandez, M.A., CCC-SLP
• Andrea Stephanie Herrera, LMFT
• Miranda Hiett
• Elisa Hinojosa
• Arielle Houston, MD
• Julie Diane Howison, F.N.P.-C

• Emergency Medicine Physician in Selma, CA
• Providers in Selma, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.