Active NPI
Michael Alan Heisman, D.P.M.
- Podiatrist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E02316
- Practice address
- 175 N Jackson Ave Ste 200
San Jose, CA 95116-1909 - Phone
- (408) 384-7160
- NPI assigned
- Jun 17, 2005
- Last updated
- Feb 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E02316 | CA | Primary |
Addresses
Primary practice location
175 N Jackson Ave Ste 200
San Jose, CA 95116-1909
Mailing address
175 N Jackson Ave Ste 200
San Jose, CA 95116-1909
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15899 Los Gatos Almaden Rd
Suite 12
Los Gatos, CA 95032-3739
Phone (408) 358-2663
175 N Jackson Ave
Suite 200
San Jose, CA 95116-1909
Phone (408) 384-7160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2316 | CA | MD | Counselor |
| E02316 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albion Medical Partners of California West P C | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Podiatrist | Current | Accepting new patients |
| Caremore Health Plan | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Richard J Trevino MD a Professional Corporation | Past | Accepting new patients | |
| Ken DME Medical Supplies LLC | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Caremore Health Plan | Past | Accepting new patients | |
| Tran's Chiropractic,Inc. | Past | Accepting new patients |
Locations
12900 Park Plaza Dr
Fl 7
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663
175 N Jackson Ave
Ste 200
San Jose, CA 95116
Phone (408) 384-7160
255 N White Rd
Ste 200
San Jose, CA 95127
Phone (408) 503-7600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
dba CareMore Health Medical Partners West, PC
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1386048429
-
- Orthopaedic Surgery Physician
- Antioch, CA
- NPI 1396124574
-
- Family Nurse Practitioner
- San Jose, CA
- NPI 1518331594
-
- Prosthetic/Orthotic Supplier
- San Jose, CA
- NPI 1154944114
-
- Otolaryngology Physician
- San Jose, CA
- NPI 1093819724
-
- Chiropractor
- San Jose, CA
- NPI 1912264599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1598760373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N JACKSON AVE STE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N JACKSON AVE STE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161909",
"telephone_number": "408-384-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISMAN",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E02316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.