Individual provider Active NPI

Christopher Dean Heitland, M.D.

  • Psychiatry Physician
  • Santa Ana, CA
National Provider Identifier
1619089349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A51217 Issued in CA
Practice address
2220 E Fruit St
Suite 109
Santa Ana, CA 92701-4459
Phone
(714) 358-0457
Fax
(714) 541-8256
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A51217 CA Primary

Addresses

Primary practice location

2220 E Fruit St
Suite 109
Santa Ana, CA 92701-4459

Mailing address

1278 Glenneyre St
PMB 135
Laguna Beach, CA 92651-3103
Phone (714) 358-0457

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000742 CA Practitioner - Psychiatry 7012047236 Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2220 E Fruit St
Suite 216
Santa Ana, CA 92701-4459
Phone (714) 358-0457

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as individual
Quality
76.11
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51217CAMDPsychiatry Physician
51217CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Krishan S. Khurana MD, Inc. Psychiatry Past Accepting new patients

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619089349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 GLENNEYRE ST",
            "address_2": "PMB 135",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513103",
            "telephone_number": "714-358-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E FRUIT ST",
            "address_2": "SUITE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014459",
            "telephone_number": "714-358-0457",
            "fax_number": "714-541-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITLAND",
        "first_name": "CHRISTOPHER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.