Active NPI
John Heine M.D. & Mark Avon M.D. PTRS
- Specialist
- Fremont, CA
National Provider Identifier
1568675700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A24518
- Legal business name
- JOHN HEINE M.D. & MARK AVON M.D. PTRS
- Practice address
- 1999 Mowry Ave Ste 2M
Fremont, CA 94538-1706 - Phone
- (510) 793-3505
- Fax
- (510) 793-4799
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Heine, M.D.
- Title
- Partner
- Phone
- (510) 793-3505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A24518 | CA | Primary |
Addresses
Primary practice location
1999 Mowry Ave Ste 2M
Fremont, CA 94538-1706
Mailing address
1999 Mowry Ave Ste 2M
Fremont, CA 94538-1706
Phone (510) 793-3505
National Provider Directory
National Provider DirectoryLocations
1999 Mowry Ave
Ste 2M
Fremont, CA 94538
Phone (510) 793-3505
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Arlington, TX
- NPI 1982753158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1568675700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 MOWRY AVE STE 2M",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381706",
"telephone_number": "510-793-3505",
"fax_number": "510-793-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 MOWRY AVE STE 2M",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381706",
"telephone_number": "510-793-3505",
"fax_number": "510-793-4799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN HEINE M.D. & MARK AVON M.D. PTRS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "510-793-3505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A24518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.