Individual provider Active NPI

Marc Jeffrey Heikens, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1871892331
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A138136 Issued in CA
Practice address
15373 Innovation Dr Ste 360
San Diego, CA 92128-3426
Phone
(619) 949-3479
Fax
(619) 625-3958
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A138136 CA Primary
Pediatrics Physician 208000000X A138136 CA

Addresses

Primary practice location

15373 Innovation Dr Ste 360
San Diego, CA 92128-3426

Mailing address

15373 Innovation Dr Ste 360
San Diego, CA 92128-3426
Phone (619) 949-3479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 27, 2023 through Jul 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A138136CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Matters Direct Primary Care, P.C. CurrentSince May 26, 2024 Accepting new patients

Locations

8996 Miramar Rd
Ste 301
San Diego, CA 92126
Phone (760) 688-0601

15373 Innovation Dr
Ste 360
San Diego, CA 92128
Phone (619) 949-3479

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.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1871892331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 360",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283426",
            "telephone_number": "619-949-3479",
            "fax_number": "619-625-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 360",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283426",
            "telephone_number": "619-949-3479",
            "fax_number": "619-625-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKENS",
        "first_name": "MARC",
        "middle_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A138136",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A138136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.