Mike Duane Hetland

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

1301 Yosemite Pkwy
Merced, CA 95340-5203

Phone

(209) 722-6335

Fax

(209) 722-6371

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1760681472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YOSEMITE PKWY",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953405203",
            "telephone_number": "209-722-6335",
            "fax_number": "209-722-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YOSEMITE PKWY",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953405203",
            "telephone_number": "209-722-6335",
            "fax_number": "209-722-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETLAND",
        "first_name": "MIKE",
        "middle_name": "DUANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kolbey Anne Herrera, ASW
• Maricruz Herrera
• Monica Elisa Herrera
• Jessica Lindsey Herrington
• Ladonna S Hester
• HG Express Non - Emergency Med Transp
• Edward Hickerson
• Tammy Kay Hickman, CADC-CAS
• Christina Hicks, PA
• Clarissa Lisette Hidalgo, RYT

• Substance Abuse Rehabilitation Facility in Merced, CA
• Providers in Merced, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.