DR. JOSEPH CHARLES HEFFERNAN SR. (NPI# 1871669507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871669507 |
Entity Type | Individual |
Full Name | DR. JOSEPH CHARLES HEFFERNAN SR. |
Credential | MD |
Practice Address |
2628 El Camino Avenue Suite A 8 Sacramento CA 95821-5934 |
Practice Telephone | 9164861311 |
Practice Fax Number | 9164861312 |
Mailing Telephone | 9164861311 |
Mailing Fax Number | 9164861312 |
Enumeration Date | 2006-11-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | G24420 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G244200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801991922 | Joseph Peter Heffernan | Chiropractor | 1820 E Main St, Waukesha, WI 53186-3902 | 2006-09-13 |
Street Address |
2628 EL CAMINO AVENUE SUITE A 8 |
City | SACRAMENTO |
State | CA |
Zip Code | 95821-5934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
Find all providers in zip 95821 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
1518467984 | Yasuo Takegoshi | General Practice | 1935 Stockton Blvd, Sacramento, CA 95816-6637 | 2018-02-12 |
1386084283 | Anthony J.t. Sabo | General Practice | 2315 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817-2201 | 2013-06-25 |
1992046981 | Mahendra Datt Sharma | General Practice | 4106 Garden Hwy, Sacramento, CA 95834 | 2013-03-15 |
1447596598 | Teresa Shea Pappas | General Practice | 440 Estates Dr, Sacramento, CA 95864-6046 | 2012-12-18 |
1124275060 | Otis Victor Thomas Jr. | General Practice | 2501 Mabry Dr, Sacramento, CA 95835-1501 | 2008-08-22 |
1396929436 | Robert Michael Hawkins | General Practice | 3609 Bradshaw Rd # 432, Sacramento, CA 95827-3275 | 2007-12-26 |
1730398017 | Jonathan Schwartz | General Practice | 1010 Hurley Way, Sacramento, CA 95825-3215 | 2007-05-22 |
1528270063 | Gustavo A Rosales Md, Inc | General Practice | 5385 Franklin Blvd Suite K, Sacramento, CA 95820 | 2007-05-04 |
1457438103 | Kristopher Kordana | General Practice | 4860 Y St Ste 0100, Sacramento, CA 95817-2307 | 2006-11-01 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95821 |
Please comment or provide details below to improve the information on DR. JOSEPH CHARLES HEFFERNAN SR..
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.