MEDICARE: DR. JARED HEATH HEIMBIGNER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	20A 9269	CA
2	2085R0202X	Diagnostic Radiology Physician	P0225	TX

General Provider Information

NPI Number	:	1063405777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED HEATH HEIMBIGNER D.O.

Provider Business Mailing Address
First Line	:	4060 FAIRMOUNT AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1608
Country	:	US
Telephone Number	:	619-584-1612
Fax Number	:

Provider Business Practice Location Address
First Line	:	4060 FAIRMOUNT AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1608
Country	:	US
Telephone Number	:	619-584-1612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	12/19/2014

Similar Medicare Providers

1447246640 — MICHAEL SPENCER GIBSON M.D.
Practice Location Address:

4060 FAIRMOUNT AVE STE 120
SAN DIEGO, CA
92105-1608

Practice Phone: 619-269-1299
Practice Fax: 619-961-0812

1609849074 — LA MAESTRA FAMILY CLINIC, INC.
Practice Location Address:

4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608

Practice Phone: 619-280-4213
Practice Fax: 619-281-6738

1740254713 — DR. WADI ROUEL M.D.
Practice Location Address:

4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608

Practice Phone: 619-584-1612
Practice Fax: 619-281-6738

1518929876 — EUGENE JOSEPH BASILIERE M.D
Practice Location Address:

4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608

Practice Phone: 619-280-4213
Practice Fax:

1609887199 — WHITE CROSS DRUG STORE
Practice Location Address:

4074 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608

Practice Phone: 619-284-1141
Practice Fax: 619-284-0503

1710089941 — DR. DAVID MICHAEL PRIVER MD
Practice Location Address:

4060 FAIRMOUNT AVE
SAN DIEGO, CA
92105-1608

Practice Phone: 619-280-4213
Practice Fax: 619-280-3545

Directions to “ DR. JARED HEATH HEIMBIGNER D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.