MIKE M. HEYDARI M.D. – NPI #1972602464
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MIKE HEYDARI is a physician located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1972602464 to MIKE HEYDARI on September 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Jul 09, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIKE HEYDARI below.

NPI Profile for
MIKE M. HEYDARI

NPI Number
1972602464
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MIKE M. HEYDARI
Credentials
M.D.
Primary location
2460 MISSION ST STE 208
SAN FRANCISCO, CA 94110-2476
Phone: (408) 347-1680 Fax: (408) 347-1681
Mailing address
1644 ALUM ROCK AVE
SAN JOSE, CA 95116-2429
Phone: (408) 347-1680 Fax: (408) 347-1681
Sole Proprietor
No
Updated
Identifiers

Identifiers for MIKE HEYDARI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD NUMBERCAZZZ41448Z
OTHERMEDICAL BOARD NUMBERCA00A406060
MEDICAIDCAGR0070182
MEDICAIDCAGR0070180
MEDICAIDCAGR0070181
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA A40606

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.