Active NPI
Hector Heredia-Martinez Jr., M.D.
- Internal Medicine Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A50069
- Practice address
- 401 H St
Suite 3
Chula Vista, CA 91910-4321 - Phone
- (619) 420-1010
- Fax
- (619) 420-1010
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A50069 | CA | |
| Internal Medicine Physician | 207R00000X | A50069 | CA | Primary |
Addresses
Primary practice location
401 H St
Suite 3
Chula Vista, CA 91910-4321
Mailing address
1108 Joshua Creek PL
Chula Vista, CA 91914-2600
Phone (619) 426-1010
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50069 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hector Heredia, MD a Professional Corporation | Internal Medicine | Current | Accepting new patients |
| James J. Longobardi, DPM, Inc. | Current | Accepting new patients |
Locations
401 H St
Ste 5
Chula Vista, CA 91910
Phone (619) 420-1010
401 H St
Ste 12
Chula Vista, CA 91910
401 H St
Ste 1
Chula Vista, CA 91910
Phone (619) 420-8430
401 H St
Ste 2
Chula Vista, CA 91910
Phone (619) 420-1010
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Internal Medicine Physician
- Chula Vista, CA
- NPI 1831346352
-
- Foot & Ankle Surgery Podiatrist
- Chula Vista, CA
- NPI 1235169319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1699882365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 JOSHUA CREEK PL",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919142600",
"telephone_number": "619-426-1010",
"fax_number": "619-426-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 H ST",
"address_2": "SUITE 3",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104321",
"telephone_number": "619-420-1010",
"fax_number": "619-420-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREDIA-MARTINEZ",
"first_name": "HECTOR",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A50069",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A50069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.