Individual provider Active NPI

Anna Marie Hefner, NP

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1588913537
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5512 Issued in CA
Practice address
10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375
Phone
(844) 200-2426
Fax
(619) 474-4008
NPI assigned
Sep 6, 2012
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5512 CA Primary

Addresses

Primary practice location

10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375

Mailing address

637 3Rd Ave Ste E1
Chula Vista, CA 91910-5707
Phone (844) 200-2426

Other practice location 1

9995 Carmel Mountain Rd
San Diego, CA 92129-2889
Phone (844) 200-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210002438 CA Practitioner - Nurse Practitioner 7810476835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

629 Villa Romero Dr
El Paso, TX 79928-5853

637 3Rd Ave
Suite E1
Chula Vista, CA 91910-5707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5512CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Operation Samahan, Inc. CurrentSince Dec 28, 2025 Accepting new patients
Operation Samahan, Inc CurrentSince Dec 28, 2025 Accepting new patients
Operation Samahan Inc PastSince Jul 22, 2025 Accepting new patients
Southern California Liver Centers Inc PastSince May 1, 2004 Accepting new patients
Operation Samahan, Inc. Past Accepting new patients

Locations

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

9995 Carmel Mountain Rd
Ste B1011
San Diego, CA 92129

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ahefner34091@sharphealthcare.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1588913537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE STE E1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 235",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262375",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9995 Carmel Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921292889",
            "country_code": "US",
            "telephone_number": "844-200-2426",
            "fax_number": "858-240-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.