Heather R Macdonald MD a Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A75177 Issued in CA

Legal business name

HEATHER R MACDONALD MD A MEDICAL CORPORATION

Practice address

16305 Sand Canyon Ave
Suite 160
Irvine, CA 92618-3782

Phone

(949) 557-0180

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Heather R Macdonald, MDNPI 1326158619

Title

Physician

Phone

(310) 403-0918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather R Macdonald, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1326158619
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1821541921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 ALTON PKWY STE C715",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048610",
            "telephone_number": "949-857-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16305 SAND CANYON AVE",
            "address_2": "SUITE 160",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183782",
            "telephone_number": "949-557-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER R MACDONALD MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-403-0918",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A75177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.