Christian S Heywood in Capitola - Specialist
Christian S Heywood - NPI 1942469952
Christian S Heywood is a Specialist in Capitola, California. Christian S Heywood practices all healthcare services and medical treatments related to Specialist. The NPI Number for Christian S Heywood is 1942469952. The last update date is 2020-06-23.
Christian S Heywood's current location address is 4140 Jade St Ste 100, Capitola, California. You can contact this provider via phone number 8314754024 and fax number 8314754344. The mailing address for Christian S Heywood is 4140 Jade St Ste 100, Capitola, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christian S Heywood |
|---|---|
| Address | 4140 Jade St Ste 100, Capitola, California |
| Phone Number | 8314754024 |
| Fax Number | 8314754344 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942469952 |
|---|---|
| Provider Enumeration Date | 2008-06-04 |
| Last Updated Date | 2020-06-23 |
Provider Mailing Address Detail
| Address | 4140 Jade St Ste 100 |
|---|---|
| City | Capitola |
| State | California (CA) |
| Post Code | 950103940 |
| Phone Number | 8314754024 |
| Fax Number | 8314754344 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A108711 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6740500001 | CA | GROUP MEDICARE PTAN | |
| 1124398235 | CA | GROUP NPI | |
| CA245861 | CA | GROUP MEDICARE PIN | |
| A108711 | CA | STATE LICENSE | |
| 6740500002 | CA | GROUP MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Christian S Heywood by the Centers for Medicare & Medicaid Services?
The Christian S Heywood has been assigned the NPI (National Provider Identifier) 1942469952 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Christian S Heywood?
The Christian S Heywood is physically situated at 4140 Jade St Ste 100, in the city of Capitola, state of CA, with the postal code 950103940.
What is the Christian S Heywood's area of specialization and corresponding taxonomy classification?
The Christian S Heywood's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Christian S Heywood receive the assignment of its 1942469952 from the Centers for Medicare & Medicaid Services?
The Christian S Heywood was issued its 1942469952 by the Centers for Medicare & Medicaid Services on 2008-06-04.
When was the information pertaining to Christian S Heywood most recently updated or revised?
The details related to Christian S Heywood, including its address, specialty, and other relevant information, were last updated or revised on 2020-06-23.