Active NPI
Justin Wayne Heil, M.D., PHD
- Anesthesiology Physician
- San Diego, CA
National Provider Identifier
1710932223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C53613
- Practice address
- 200 W Arbor Drive
University of California San Diego
San Diego, CA 92103-8770 - Phone
- (619) 522-8961
- NPI assigned
- May 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C53613 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Drive
University of California San Diego
San Diego, CA 92103-8770
Mailing address
4519 Cape May Ave
San Diego, CA 92107-2327
Phone (619) 459-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53613 | CA | MD | General Practice Dentistry |
| C53613 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1710932223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 CAPE MAY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921072327",
"telephone_number": "619-459-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DRIVE",
"address_2": "UNIVERSITY OF CALIFORNIA SAN DIEGO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921038770",
"telephone_number": "619-522-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIL",
"first_name": "JUSTIN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D., PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C53613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.