Hizon Medical Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G55359 Issued in CA

Legal business name

HIZON MEDICAL CORPORATION

Doing business as

Motion Sports MD

Practice address

25495 Medical Center Dr
Suite 305
Murrieta, CA 92562-4902

Phone

(951) 790-0107

NPI assigned

Sep 23, 2013

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Motion Sports MD Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

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

• Gerardo William Hizon, MD, FAAFP, CAQSM

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1205898558
  NPD (past)

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1912333907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR",
            "address_2": "SUITE 305",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624902",
            "telephone_number": "951-790-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIZON MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2013-09-23",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G55359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motion Sports MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leilani Hinojos, RBT
• Jeanne Hinton, FNP
• Vivian Hipolito
• Hizon Medical Corporation
• Hizon Medical Corporation
• Sam Chin Ho, D.C.
• Hoang Preferred Dental Management Inc
• Esta Hobbs
• Teresa Lynn Hobold
• Benjamin Hodder

• Non-Pharmacy Dispensing Site in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.