Keith G Heinzerling (NPI# 1184724932, PAC ID# 7618904038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1184724932 |
| PAC ID by PECOS | 7618904038 |
| Professional Enrollment ID | I20050718000694 |
| Full Name | Keith G Heinzerling |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Address |
1301 20th St Suite 145 Santa Monica CA 90404-2050 |
| Phone Number | 3105287641 |
| Gender | M |
| Credential | MD |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | ADDICTION MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840548624 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 | 3105287641 | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 3103194700 | UC REGENTS UCLA FAMILY HEALTH CENTER |
| 2336 Santa Monica Blvd, Suite 204, Santa Monica, CA 90404-2938 | 3108296789 | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Chialin Liu | Internal Medicine | Providence Saint Johns Medical Foundation | 12121 Santa Monica Blvd, Los Angeles, CA 90025-2515 |
| Asad Julian Bedran | Family Medicine | Providence Saint Johns Medical Foundation | 8570 W Sunset Blvd, West Hollywood, CA 90069-2359 |
| Matthew K Nienaber | Internal Medicine | Providence Saint Johns Medical Foundation | 1821 Wilshire Blvd, Suite 100, Santa Monica, CA 90403-5627 |
| Jennifer P Carleton-nathan | Family Medicine | Providence Saint Johns Medical Foundation | 700 S Flower St, Suite 2340, Los Angeles, CA 90017-4123 |
| Meghan Moore | Physician Assistant | Providence Saint Johns Medical Foundation | 525 Broadway, Suite 1101, Santa Monica, CA 90401-2971 |
| Michelle Grotz-rhone | Internal Medicine | Providence Saint Johns Medical Foundation | 9725 Wilshire Blvd, Beverly Hills, CA 90212-2002 |
| Mina Kang | Internal Medicine | Providence Saint Johns Medical Foundation | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 |
| Carol Nishikubo | Hematology/oncology | Providence Saint Johns Medical Foundation | 12555 W Jefferson Blvd, Los Angeles, CA 90066-7032 |
| Howard Ronald Krauss | Ophthalmology | Providence Saint Johns Medical Foundation | 2125 Arizona Ave, Santa Monica, CA 90404-1337 |
| Richard L Ross | Family Medicine | Providence Saint Johns Medical Foundation | 901 Wilshire Blvd, Fl 3, Santa Monica, CA 90401-1854 |
| Street Address |
1301 20TH ST SUITE 145 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90404-2050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia L Plehn | Certified Registered Nurse Anesthetist (crna) | West Los Angeles Anesthesia Services LLC | 1301 20th St, Suite 376, Santa Monica, CA 90404-2087 |
| Angela Nishio | Obstetrics/gynecology | Providence Saint Johns Medical Foundation | 1301 20th St, Santa Monica, CA 90404-2053 |
| Stella E Panos | Psychologist, Clinical | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| William A Pullen | Endocrinology | 1301 20th St, Suite 550, Santa Monica, CA 90404-2054 | |
| Lewis Kanengiser | Internal Medicine | 1301 20th St, Suite 550, Santa Monica, CA 90404-2054 | |
| Gilbert J Kuhn | Allergy/immunology | Respiratory Consultants of Santa Monica | 1301 20th St, Suite 360, Santa Monica, CA 90404-2087 |
| Lenna A Martyak | Gastroenterology | Providence Saint Johns Medical Foundation | 1301 20th St, Santa Monica, CA 90404-2053 |
| Shanthi Gowrinathan | Psychiatry | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| Scott A Kaiser | Geriatric Medicine | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| Sheila Luisa Moore | Clinical Social Worker | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivanti N Jain | Plastic and Reconstructive Surgery | 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001 | |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Ralph A Massey | Dermatology | 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106 | |
| Peter Galier | Internal Medicine | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| John Patrick Whelan | Rheumatology | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Melissa D Alexander | Qualified Audiologist | 1260 15th St, P2, Santa Monica, CA 90404-1135 | |
| Malena Shu-chuan Law | General Practice | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| Mohammed Fahad Ali | Internal Medicine | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Manoochehr Yashari | Obstetrics/gynecology | 1260 15th St, Suite 616, Santa Monica, CA 90404-1141 | |
| Quynhtrang Le Sebastian | Dermatology | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Find all physicians in zip 90404 | |||
| City | SANTA MONICA |
| Zip Code | 90404 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | SANTA MONICA + ADDICTION MEDICINE |
Please comment or provide details below to improve the information on Keith G Heinzerling.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.