Individual provider Active NPI

Gretchen Ann Hetzler, M.D..

  • Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1699861526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G58400 Issued in CA
Practice address
10861 Cherry St
Suite 300
Los Alamitos, CA 90720-5402
Phone
(562) 594-8320
Fax
(562) 594-9757
NPI assigned
Oct 5, 2006
Sex
Female
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
Gynecology Physician 207VG0400X G58400 CA Primary

Addresses

Primary practice location

10861 Cherry St
Suite 300
Los Alamitos, CA 90720-5402

Mailing address

10861 Cherry St
Suite 300
Los Alamitos, CA 90720-5402
Phone (562) 594-8320

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
I20041223000053 CA Practitioner - Obstetrics/Gynecology 7012975212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
22.51 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gretchen a Hetzler MD Incorporated Gynecology CurrentSince Sep 1, 1999 Accepting new patients

Locations

10861 Cherry St
Ste 105
Los Alamitos, CA 90720
Phone (562) 594-8320

10861 Cherry St
Ste 300
Los Alamitos, CA 90720
Phone (562) 493-2266

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699861526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST",
            "address_2": "SUITE 300",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "562-594-8320",
            "fax_number": "562-594-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST",
            "address_2": "SUITE 300",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "562-594-8320",
            "fax_number": "562-594-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZLER",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D..",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G58400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.