Individual provider Active NPI

Richard Raymond Heimann, M.D.

  • Anesthesiology Physician
  • Arcadia, CA
National Provider Identifier
1740296284
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G42889 Issued in CA
Practice address
614 W Duarte Rd
Arcadia, CA 91007-7601
Phone
(626) 445-4714
Fax
(626) 445-1701
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G42889 CA Primary

Addresses

Primary practice location

614 W Duarte Rd
Arcadia, CA 91007-7601

Mailing address

225 S Lake Ave
535
Pasadena, CA 91101-3005
Phone (626) 795-6596

Other identifiers 2

IdentifierTypeStateIssuer
00G428890OtherCABLUE SHIELD
00G428891MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000703 CA Practitioner - Anesthesiology 0840377925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42889CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard R. Heimann M.D. Inc. Anesthesiology CurrentSince Jun 29, 1991 Accepting new patients

Locations

614 W Duarte Rd
Arcadia, CA 91007
Phone (626) 445-4714

120 S Spalding Dr
Ste 200
Beverly Hills, CA 90212
Phone (310) 550-7766

16030 Ventura Blvd
Ste 150
Encino, CA 91436
Phone (818) 500-9999

225 S Lake Ave
Ste 535
Pasadena, CA 91101

3805 Telegraph Rd
Ventura, CA 93003
Phone (805) 644-9001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1740296284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE",
            "address_2": "535",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013005",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W DUARTE RD",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077601",
            "telephone_number": "626-445-4714",
            "fax_number": "626-445-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMANN",
        "first_name": "RICHARD",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G42889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G428890",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G428891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.