Active NPI
Alan Max Heller, M.D.
- Allergy Physician
- San Jose, CA
National Provider Identifier
1831204882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- A32272
- Practice address
- 2039 Forest Ave
Ste. 203
San Jose, CA 95128-4817 - Phone
- (408) 297-6030
- Fax
- (408) 297-8612
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | A32272 | CA | Primary |
Addresses
Primary practice location
2039 Forest Ave
Ste. 203
San Jose, CA 95128-4817
Mailing address
2039 Forest Ave
Ste. 203
San Jose, CA 95128-4817
Phone (408) 297-6030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A32272 | Other | CA | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Sullivan Ave
RM 502
Daly City, CA 94015-2225
Phone (650) 991-0405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32272 | CA | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy and Asthma Clinic Incorporated | Allergy | Current | Accepting new patients |
Locations
1800 Sullivan Ave
Rm 502
Daly City, CA 94015
Phone (650) 991-0405
290 Baldwin Ave
San Mateo, CA 94401
Phone (650) 343-4597
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.
-
- Allergy Physician
- San Mateo, CA
- NPI 1245442938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831204882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2039 FOREST AVE",
"address_2": "STE. 203",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284817",
"telephone_number": "408-297-6030",
"fax_number": "408-297-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 FOREST AVE",
"address_2": "STE. 203",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284817",
"telephone_number": "408-297-6030",
"fax_number": "408-297-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "ALAN",
"middle_name": "MAX",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "A32272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A32272",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.