Heber House Inc. Dba Dermatology Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G066333 Issued in CA

Legal business name

HEBER HOUSE INC. DBA DERMATOLOGY CENTER

Practice address

2404 Newburg Rd.
Fortuna, CA 95540

Phone

(707) 725-8770

Fax

(707) 725-8773

NPI assigned

Aug 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Arlene R. Guccione

Title

Office Manager

Phone

(707) 834-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1730438151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 NEWBURG RD.",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "95540",
            "telephone_number": "707-725-8770",
            "fax_number": "707-725-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 NEWBURG RD.",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "95540",
            "telephone_number": "707-725-8770",
            "fax_number": "707-725-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBER HOUSE INC. DBA DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "GUCCIONE",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-834-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G066333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Blaine Grover, DO
• Jack L Guccione, M.D., MPH
• Healing Roots Curando Raices LLC
• Healing Roots Curando Raices PC
• Dylan Heard
• Helpers Touch
• Julia Hemenway
• Maria Del Mar Herndon, RN
• Daniel Alan Heyn, MD
• Chance Holcomb, RN

• Dermatology Physician in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.