JUSTIN B. HELLER (NPI# 1639373590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639373590 |
| Entity Type | Individual |
| Full Name | JUSTIN B. HELLER |
| Credential | MD |
| Practice Address |
42135 10th St W Suite 101 Lancaster CA 93534-7095 |
| Practice Telephone | 6617265005 |
| Practice Fax Number | 6617265377 |
| Mailing Telephone | 6617265005 |
| Mailing Fax Number | 6617265377 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
A111496 | CA | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | A111496 | CA | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
A111496 | CA | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
A111496 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
42135 10TH ST W SUITE 101 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-7095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174816 | Alon Antebi | Orthopaedic Surgery | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2005-06-15 |
| 1174063788 | Embassy Surgery Center, LLC | Clinic/Center | 42135 10th St W, Suite 325, Lancaster, CA 93534-7095 | 2017-03-01 |
| 1518403849 | Michelle Welch | Nurse Practitioner | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2017-01-10 |
| 1780970517 | Sandra Kay Callaghan | Nurse Practitioner | 42135 10th St W, Suite 301, Lancaster, CA 93534-7095 | 2011-06-20 |
| 1427381391 | Elsa H Ramirez | Nurse Practitioner | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2009-09-10 |
| 1710167994 | Tik Lung Dion Fung | Psychiatry & Neurology | 42135 10th St W, Suite 301, Lancaster, CA 93534-7095 | 2007-11-06 |
| 1679580096 | Mukesh Misra | Neurological Surgery | 42135 10th St W, Suite 301, Lancaster, CA 93534-7095 | 2006-08-01 |
| 1932135266 | Abdallah S Farrukh | Neurological Surgery | 42135 10th St W, Suite # 301, Lancaster, CA 93534-7095 | 2006-06-26 |
| 1942263322 | Gerard H Boghossian | Podiatrist | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2006-04-07 |
| 1003892316 | Lingaiah Janumpally | Psychiatry & Neurology | 42135 10th St W, Suite # 301, Lancaster, CA 93534-7095 | 2005-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641314 | David Scott Warsaw | Plastic Surgery | 554 North Duke Street, Lancaster, PA 17602-2250 | 2005-07-06 |
| 1588873632 | Alisha Arora | Plastic Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2007-05-22 |
| 1942380993 | Cosmetic Surgery Center of Lancaster | Plastic Surgery | 2110 Harrisburg Pike, Suite 210, Lancaster, PA 17601-2644 | 2006-10-16 |
| 1770593394 | Lancaster General Hospital | Plastic Surgery | 555 N Duke St, Lancaster, PA 17602-2250 | 2006-08-08 |
| 1689691487 | Central Ohio Plastic Surgery Inc | Plastic Surgery | 135 N Ewing St, Suite 202, Lancaster, OH 43130-3378 | 2006-07-16 |
| 1871586180 | Jason Brett Lichten | Plastic Surgery | 135 N Ewing St, Suite 202, Lancaster, OH 43130-3378 | 2005-08-23 |
| 1346247715 | Michael S. Flood | Plastic Surgery | 2112 Harrisburg Pike, Suite 327, Lancaster, PA 17601-2644 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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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.