Individual provider Active NPI

Raymond C Heung, M.D.

  • Hematology & Oncology Physician
  • San Diego, CA
National Provider Identifier
1699772756
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A48119 Issued in CA
Practice address
5222 Balboa Ave
Ste 33
San Diego, CA 92117-6953
Phone
(858) 874-8868
Fax
(858) 874-6589
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A48119 CA Primary

Addresses

Primary practice location

5222 Balboa Ave
Ste 33
San Diego, CA 92117-6953

Mailing address

5222 Balboa Ave
Ste 33
San Diego, CA 92117-6953
Phone (858) 874-8868

Other identifiers 1

IdentifierTypeStateIssuer
00A481191MedicaidCA

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
I20080331000293 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3678659695 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5222 Balboa Ave
Suite 33
San Diego, CA 92117-6953
Phone (858) 874-8868

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48119CAMDGeneral Practice Dentistry
A48119CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Raymond Heung, M.D. PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rheung38654@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1699772756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE",
            "address_2": "STE 33",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176953",
            "telephone_number": "858-874-8868",
            "fax_number": "858-874-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE",
            "address_2": "STE 33",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176953",
            "telephone_number": "858-874-8868",
            "fax_number": "858-874-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUNG",
        "first_name": "RAYMOND",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A48119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A481191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.