Fukiko M Heineman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 26915 Issued in CA

Practice address

1000 Broadway
Suite 210
El Cajon, CA 92021-7417

Phone

(619) 401-5500

Fax

(619) 401-5454

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fukiko Miyagi Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of San DiegoGroup PAC ID 8123014057, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of San Diego

  • Public Health or Welfare Agency
  • San Diego, CA
  • NPI 1225255375
  Medicare reassignment Care Compare group NPD
• County of San Diego

  dba San Diego County Fire Protection District

  • Ambulance
  • San Diego, CA
  • NPI 1316685159
  NPD
• County of San Diego

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1336209220
  NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1588873871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920217417",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920217417",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMAN",
        "first_name": "FUKIKO",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 26915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FUKIKO",
            "last_name": "MIYAGI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.