DR. MICHAEL ALAN HEISMAN (NPI# 1598760373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598760373 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ALAN HEISMAN |
| Credential | D.P.M. |
| Practice Address |
255 N White Rd Ste 200 San Jose CA 95127-1966 |
| Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
| Practice Telephone | 4086058335 |
| Mailing Telephone | 5629774639 |
| Mailing Fax Number | 5627414479 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E02316 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E23160 | 05 |
| Street Address |
255 N WHITE RD STE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278547 | Mary Isabelle Colene Daluz Huynh | Physician Assistant | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2020-02-26 |
| 1184113854 | Catherine Van Pham | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2018-05-08 |
| 1457870586 | Jesse Korth | Registered Nurse | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2017-09-09 |
| 1518481845 | Pooja Patel | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2017-07-28 |
| 1134655897 | Molly Lee | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2017-05-02 |
| 1821544974 | Ron Pascual | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2016-08-29 |
| 1518331594 | Caremore Health Plan | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2015-11-13 |
| 1700261609 | Ritu Dabas | Internal Medicine | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2015-07-21 |
| 1174934566 | Chen-yuan Emily Lu | Family Medicine | 255 N White Rd Ste 200, San Jose, CA 95127 | 2014-05-19 |
| 1578982815 | Vijay Roy Kotecha | Internal Medicine | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2014-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
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| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639608896 | Foot & Ankle Care, Inc | Podiatrist | 100 Oconnor Dr Ste 9a, San Jose, CA 95128-1638 | 2017-06-09 |
| 1124112578 | Ann Marie Wotherspoon | Podiatrist | 1425 Fruitdale Ave., San Jose, CA 95128 | 2006-10-02 |
| 1750305868 | Christina Flores | Podiatrist | 3102 Story Rd, San Jose, CA 95127-3815 | 2006-07-26 |
| 1649236399 | Andrew Robert Harrison | Podiatrist | 4986 Cherry Ave, San Jose, CA 95118-2748 | 2006-04-21 |
| 1013901271 | Timothy C Ho | Podiatrist | 3150 Almaden Expy, Ste 231a, San Jose, CA 95118-1250 | 2005-09-02 |
| 1255707766 | Steve Quang Huynh | Podiatrist | 200 Jose Figueres Ave Ste 260, San Jose, CA 95116-1555 | 2015-08-19 |
| 1689859894 | County of Santa Clara | Podiatrist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2008-01-07 |
| 1780720375 | Christina Crum Rude | Podiatrist | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-30 |
| 1174696041 | Alexander Louis Vago | Podiatrist | 4155 Moorpark Ave, 16, San Jose, CA 95117-1714 | 2006-11-16 |
| 1972682433 | Richard R Abe | Podiatrist | 280 N Jackson Ave, Ste A, San Jose, CA 95116-1607 | 2006-11-03 |
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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.