Individual provider Active NPI

Heather Olivia Washington, M.D.

  • Family Medicine Physician
  • Eastvale, CA
National Provider Identifier
1629311469
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A135435 Issued in CA
Practice address
5379 Hamner Ave Unit 801
Eastvale, CA 91752-1042
Phone
(888) 854-1397
Fax
(714) 709-4684
NPI assigned
Mar 29, 2013
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A135435 CA Primary

Addresses

Primary practice location

5379 Hamner Ave Unit 801
Eastvale, CA 91752-1042

Mailing address

711 W 2ND St Ste a
San Bernardino, CA 92410-3262
Phone (888) 854-1397

Other practice location 1

711 W 2nd St Ste A
San Bernardino, CA 92410-3262
Phone (888) 854-1397

Other names 1

  • Dr. Heather Olivia Belcher Former name

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
I20171006001301 CA Practitioner - Family Practice 2062721103 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135435CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Oct 9, 2017 Accepting new patients
Neighborhood Healthcare CurrentSince Oct 9, 2017 Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

4371 Latham St
Riverside, CA 92501

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • Direct secure messaging: heather.washington.1@30520.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1629311469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 2ND ST STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103262",
            "telephone_number": "888-854-1397",
            "fax_number": "714-709-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5379 HAMNER AVE UNIT 801",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521042",
            "telephone_number": "888-854-1397",
            "fax_number": "714-709-4684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W 2nd St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103262",
            "country_code": "US",
            "telephone_number": "888-854-1397",
            "fax_number": "714-709-4974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "HEATHER",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A135435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BELCHER",
            "middle_name": "OLIVIA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eastvale, CA

Sources for this page

Verify at the official NPI Registry.