MEDICARE: DR. JAMES DAWSON HEFFELFINGER M.D.

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	207RI0200X	Infectious Disease Physician	G76725	CA

General Provider Information

NPI Number	:	1619931698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DAWSON HEFFELFINGER M.D.

Provider Business Mailing Address
First Line	:	3260 KERNER BLVD STE 130
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-4840
Country	:	US
Telephone Number	:	415-448-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3260 KERNER BLVD
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-4840
Country	:	US
Telephone Number	:	154-481-5004
Fax Number	:

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	03/13/2025

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