Susan D Heifetz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A72895 Issued in CA

Practice address

2067 W Vista Way
Suite 200
Vista, CA 92083

Phone

(760) 726-2180

Fax

(760) 726-9928

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Susan Dabney Hollandsworth Former name

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

Specialty

Internal Medicine

Education

Wake Forest University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
• Bridge Home Health Home health agency, San Diego, CA, CCN 059387
• Seaport Scripps Home Health Home health agency, San Diego, CA, CCN 057602
• Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Susan Dabney Heifetz,MD, Inc

  • Specialist
  • Vista, CA
  • NPI 1235546730
  Medicare reassignment NPD
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abc Home Health Care LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1629207287
  Care Compare affiliation
• Optimal Health Care Inc

  • Home Health Agency
  • Carlsbad, CA
  • NPI 1053741017
  Care Compare affiliation
• Rancho Bernardo Healthcare LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1750906954
  Care Compare affiliation
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1831289297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "address_2": "SUITE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92083",
            "telephone_number": "760-726-2180",
            "fax_number": "760-726-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "address_2": "SUITE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92083",
            "telephone_number": "760-726-2180",
            "fax_number": "760-726-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFETZ",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HOLLANDSWORTH",
            "middle_name": "DABNEY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thembi Hawkins
• Jonathan Markland Haynes, MD
• Isobel Hazlehurst, MFT
• James Heavilin, D.C.
• Hashem Heiati, RPH., PH.D
• Jessica Heinrich
• Anna Elizabeth Heinz, NP, CNM
• Joel M Heiser, MD
• Craig E Heller, D.C.
• Sadie Hellstrom

• Internal Medicine Physician in Vista, CA
• Providers in Vista, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.

Verify at the official NPI Registry.