Individual provider Active NPI

Justin B. Heller, MD

  • Plastic Surgery Physician
  • Lancaster, CA
National Provider Identifier
1639373590
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A111496 Issued in CA
Practice address
42135 10TH St W
Suite 101
Lancaster, CA 93534-7095
Phone
(661) 726-5005
Fax
(661) 726-5377
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A111496 CA Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X A111496 CA
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X A111496 CA
Orthopaedic Hand Surgery Physician 207XS0106X A111496 CA

Addresses

Primary practice location

42135 10TH St W
Suite 101
Lancaster, CA 93534-7095

Mailing address

42135 10TH St W
Suite 101
Lancaster, CA 93534-7095
Phone (661) 726-5005

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
I20121116000305 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 8426209610 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Yale University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avors Medical GroupGroup PAC ID 6901989904, 18 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Embassy Surgery Center, LLC CurrentSince Mar 7, 2020 Accepting new patients
Avors Medical Group Current Accepting new patients
Familyfirst Family Medical Practice Inc Current Accepting new patients
Misha Max Heller, M.D., a Professional Medical Corporation CurrentSince Mar 26, 2018 Accepting new patients
Avors Medical Group CurrentSince Feb 16, 2018 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients

Locations

42135 10th St W
Ste 101
Lancaster, CA 93534
Phone (661) 341-3800

42135 10th St W
Lancaster, CA 93534
Phone (661) 237-5454

42135 10th St W
Ste 325
Lancaster, CA 93534
Phone (661) 237-5454

1760 Termino Ave
Ste 114
Long Beach, CA 90804
Phone (562) 498-2459

1011 N China Lake Blvd
Ste B
Ridgecrest, CA 93555
Phone (661) 726-5005

26357 McBean Pkwy
Ste 225
Valencia, CA 91355
Phone (661) 964-0480

23838 Valencia Blvd
Ste 260
Valencia, CA 91355
Phone (661) 233-4949

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: avors.justinheller@133862.advancedmd-direct.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1639373590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347095",
            "telephone_number": "661-726-5005",
            "fax_number": "661-726-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347095",
            "telephone_number": "661-726-5005",
            "fax_number": "661-726-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "JUSTIN",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A111496",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A111496",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A111496",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A111496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.