Gene W Heinrichs, MD
Individual provider Active NPI Family Medicine Physician · Sanger, CA
NPI 1790764611 · NPPES record last updated Mar 26, 2013
Key facts
- NPI
- 1790764611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C26614 (CA)
- Practice address
- 1427 Circle Dr E
Sanger, CA 93657-2966 - Phone
- (559) 281-4020
- Fax
- (559) 292-3284
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101122000070 | CA | Practitioner - General Practice | 2961698618 | Practice locations: Sanger, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C26614 | CA | Yes |
Addresses
Primary practice location
1427 Circle Dr E
Sanger, CA 93657-2966
Mailing address
1427 Circle Dr E
Sanger, CA 93657-2966
Phone (559) 281-4020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C266140 | Medicaid | CA |
Other providers in Sanger, CA
- H S Mann DDS Inc
- Bernadette Hapsari
- Tracie Danielle Harvey
- Ashley Marie Hazelton
- Heaven Sent Medical Service Inc
- Tom Her
- Jessica E Heredia
- Rosa Margarita Herrera
- Keara Alene Hine
- Denise Marcelle Hippert
All providers in Sanger, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.