DR. JOSEPH CHARLES HEFFERNAN SR.


Address: 2628 El Camino Avenue, Suite A 8, Sacramento, CA 95821-5934
Phone: 9164861311

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G24420 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G244200 05

Other Providers JOSEPH HEFFERNAN

NPI Name Taxonomy Address Enumeration
1801991922 Joseph Peter Heffernan Chiropractor 1820 E Main St, Waukesha, WI 53186-3902 2006-09-13

Office Location

Street Address 2628 EL CAMINO AVENUE
SUITE A 8
City SACRAMENTO
State CA
Zip Code 95821-5934

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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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
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Competitor

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City SACRAMENTO
Zip Code 95821

Improve Information

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Dataset Information

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.

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