Organization Active NPI

Alan M. Heller M.D. Inc

  • Specialist
  • San Jose, CA
National Provider Identifier
1629379128
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A 32272 Issued in CA
Legal business name
ALAN M. HELLER M.D. INC
Practice address
2039 Forest Ave
203
San Jose, CA 95128-4817
Phone
(408) 297-6030
Fax
(408) 297-8612
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Alan Max Heller, M.D.
Title
President
Phone
(408) 297-6030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A 32272 CA Primary

Addresses

Primary practice location

2039 Forest Ave
203
San Jose, CA 95128-4817

Mailing address

2039 Forest Ave Ste 203
San Jose, CA 95128-4815
Phone (408) 297-6030

National Provider Directory

National Provider Directory

Locations

2039 Forest Ave
Ste 203
San Jose, CA 95128
Phone (408) 297-6030

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1629379128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284815",
            "telephone_number": "408-297-6030",
            "fax_number": "408-297-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284817",
            "telephone_number": "408-297-6030",
            "fax_number": "408-297-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN M. HELLER M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-297-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A 32272",
            "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 Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.