DR. KEITH GREGORY HEINZERLING (NPI# 1184724932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184724932 |
Entity Type | Individual |
Full Name | DR. KEITH GREGORY HEINZERLING |
Credential | MD |
Practice Address |
1301 20th St Ste 540 Santa Monica CA 90404-2118 |
Mailing Address |
1920 Colorado Ave Santa Monica CA 90404-3414 |
Practice Telephone | 3105827612 |
Practice Fax Number | 4242776342 |
Mailing Telephone | 3103194700 |
Mailing Fax Number | 3103935659 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2020-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | A79201 | CA | Allopathic & Osteopathic Physicians |
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A79201 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1920 Colorado Ave, Santa Monica, CA 904043414 | 3103194700 | 3103935659 |
Street Address |
1301 20TH ST STE 540 |
City | SANTA MONICA |
State | CA |
Zip Code | 90404-2118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760942379 | Micah Linton | Psychologist | 1301 20th St Ste 540, Santa Monica, CA 90404-2118 | 2019-03-20 |
1174892087 | Shanthi Gowrinathan | Psychiatry & Neurology | 1301 20th St Ste 540, Santa Monica, CA 90404-2118 | 2011-12-21 |
1952623514 | Karina Sergi | Marriage & Family Therapist | 1301 20th St Ste 540, Santa Monica, CA 90404-2118 | 2010-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
Find all providers in zip 90404 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578987251 | Westcoast Medical Group, Inc. | Internal Medicine | 171 Pier Ave #112, Santa Monica, CA 90405-5363 | 2014-02-14 |
1417584244 | Dragonfly Medical | Internal Medicine | 3200 Santa Monica Blvd Ste 204, Santa Monica, CA 90404-2639 | 2020-03-23 |
1811446768 | David A Sack Md A Professional Medical Corporation | Internal Medicine | 2515 Wilshire Blvd, Santa Monica, CA 90403-4615 | 2016-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902458540 | Medicus Telehealth Inc. | Internal Medicine | 180 N Rexford Dr, Beverly Hills, CA 90210-5406 | 2019-07-13 |
1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
Find all providers with the same taxonomy |
City | SANTA MONICA |
Zip Code | 90404 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.