Individual provider Active NPI

Ted Alan Heckman, MD

  • Hematology & Oncology Physician
  • Paradise, CA
National Provider Identifier
1730143116
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G36530 Issued in CA
Practice address
5629 Canyon View Drive
Ste B
Paradise, CA 95969
Phone
(530) 876-3141
Fax
(530) 876-3149
NPI assigned
Apr 13, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 G36530 CA Primary

Addresses

Primary practice location

5629 Canyon View Drive
Ste B
Paradise, CA 95969

Mailing address

250 Riverview Dr
N/a
Oroville, CA 95966-9425
Phone (530) 589-0993

Other identifiers 2

IdentifierTypeStateIssuer
G36530OtherCASTATE LICENSE
GR0014101MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
G36530CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System PastSince Feb 25, 2012 Accepting new patients
Oroville Internal Medicine Medical Group,Inc. Past Accepting new patients
Feather River Hospital PastSince Jun 12, 2011 Accepting new patients
Feather River Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1730143116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIVERVIEW DR",
            "address_2": "N/A",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959669425",
            "telephone_number": "530-589-0993",
            "fax_number": "530-589-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 CANYON VIEW DRIVE",
            "address_2": "STE B",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-876-3141",
            "fax_number": "530-876-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "TED",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G36530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G36530",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.