Active NPI
Emil Robert Heinze, MD
- Internal Medicine Physician
- Sylmar, CA
National Provider Identifier
1720175052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A80878
- Practice address
- 14445 Olive View Dr
#2B-182
Sylmar, CA 91342-1437 - Phone
- (818) 364-3205
- Fax
- (818) 364-4573
- NPI assigned
- Oct 6, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A80878 | CA | Primary |
Addresses
Primary practice location
14445 Olive View Dr
#2B-182
Sylmar, CA 91342-1437
Mailing address
14445 Olive View Dr
#2B-182
Sylmar, CA 91342-1437
Phone (818) 364-3205
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 |
|---|---|---|---|
| A80878 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
14445 Olive View Dr
Ste 2B182
Sylmar, CA 91342
Phone (747) 219-3205
14445 Olive View Dr
#2B182
Sylmar, CA 91342
Phone (747) 210-3205
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1720175052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR",
"address_2": "#2B-182",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421437",
"telephone_number": "818-364-3205",
"fax_number": "818-364-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR",
"address_2": "#2B-182",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421437",
"telephone_number": "818-364-3205",
"fax_number": "818-364-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZE",
"first_name": "EMIL",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A80878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
- Liudmila Hayeuskaya, NP
- Healthy Mind Therapy, Licensed Clinical Social Worker Corp
- Healthy Residents Living Center Inc.
- Heart2Heart Anger Solutions LLC
- Michael Heath
- Herbert S Radley MD & Harold M Cohen MD Medical Corporation
- Angela Melissa Hernandez
- Artemio Hernandez Jr.
- Cristian Alexander Hernandez
- Jessica Hernandez, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.