JOHN HEINE M.D. & MARK AVON M.D. PTRS NPI 1568675700

NPI Information

  • NPI: 1568675700
  • Provider Name: JOHN HEINE M.D. & MARK AVON M.D. PTRS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1999 MOWRY AVE STE 2M
    FREMONT, CA
    ZIP 94538
  • Phone: (510) 793-3505

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NPI Details

JOHN HEINE M.D. & MARK AVON M.D. PTRS is a specialist in Fremont, CA. The provider is 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. JOHN HEINE M.D. & MARK AVON M.D. PTRS NPI is 1568675700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1999 MOWRY AVE STE 2M
FREMONT, CA
ZIP 94538-706
Phone: (510) 793-3505
Fax: (510) 793-4799

The provider's authorized official is John P Heine .
The authorized official title is Partner and has the following contact phone number (510) 793-3505.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 5/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA24518CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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