Organization Active NPI

Hector Heredia, MD a Professional Corporation

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1831346352
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HECTOR HEREDIA, MD A PROFESSIONAL CORPORATION
Practice address
401 H St
Suite 5
Chula Vista, CA 91910-4321
Phone
(619) 420-1010
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Hector Heredia-Martinez, MDNPI 1699882365
Title
Provider
Phone
(619) 420-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

401 H St
Suite 5
Chula Vista, CA 91910-4321

Mailing address

401 H St
Suite 5
Chula Vista, CA 91910-4321
Phone (619) 420-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000788 CA Part B Supplier - Clinic/Group Practice 5799848263 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

401 H St
Ste 2
Chula Vista, CA 91910
Phone (619) 420-1010

401 H St
Ste 12
Chula Vista, CA 91910

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1831346352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 H ST",
            "address_2": "SUITE 5",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104321",
            "telephone_number": "619-420-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 H ST",
            "address_2": "SUITE 5",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104321",
            "telephone_number": "619-420-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR HEREDIA, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "HEREDIA-MARTINEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "619-420-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.