Keith G Heinzerling Internal Medicine
1920 Colorado Ave, Santa Monica, CA 90404-3414


Keith G Heinzerling is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1184724932. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7618904038. The medical credential is MD. The primary specialty is INTERNAL MEDICINE. The organization is UC REGENTS UCLA FAMILY HEALTH CENTER. The address is 1920 Colorado Ave, Santa Monica, CA 90404-3414. The zip code is 90404.


Keith G Heinzerling · 1920 Colorado Ave, Santa Monica, CA 90404-3414

Nation Provider ID 1184724932
PAC ID by PECOS 7618904038
Professional Enrollment ID I20050718000694
Last Name HEINZERLING
First Name KEITH
Middle Name G
Gender M
Credential MD
Medical School Name STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty INTERNAL MEDICINE
Primary Specialty UC REGENTS UCLA FAMILY HEALTH CENTER
Phone Number 3103194700
Group Practice PAC ID 9739083866
Number of Group Practice Members 32
Address 1920 COLORADO AVE
SANTA MONICA, CA 904043414
Claims Based Hospital Affiliation Claim Control Number (CCN): 050112
Legal Business Name: SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

street_number: 1920
route: Colorado Avenue (Colorado Ave)
locality, political: Santa Monica
admin_level_2, political: Los Angeles County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 90404
postal_code_suffix: 3414
types : premise
latitude: 34.0252395
longitude: -118.4768892
latlng: (34.0252395, -118.4768892)


Uc Regents Ucla Family Health Center · Medicare Physician

Name Address Specialty
Joy Chudzynski 1920 Colorado Ave, Santa Monica, CA 90404-3414 CLINICAL PSYCHOLOGIST
Blanca Campos 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Michelle Bholat 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Arthur Ohannessian 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Yelba Castellon-lopez 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
John Difiori 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Lauren Irizarry 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Denise Sur 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Timothy Weiss 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Lynn Stephens 1920 Colorado Ave, Santa Monica, CA 90404-3414 NURSE PRACTITIONER
Lillian Gelberg 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
David Wallenstein 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Steven Shoptaw 1920 Colorado Ave, Santa Monica, CA 90404-3414 CLINICAL PSYCHOLOGIST
Monica Plesa 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Joy Hao 1920 Colorado Ave, Santa Monica, CA 90404-3414 INTERNAL MEDICINE
Joshua Goldman 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Calvin Duffaut 1920 Colorado Ave, Santa Monica, CA 90404-3414 PEDIATRIC MEDICINE
Derjung Tarn 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Martin Quan 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Aurelia Nattiv 1920 Colorado Ave, Santa Monica, CA 90404-3414 ORTHOPEDIC SURGERY

Zip 90404 · Internal Medicine · Medicare Physician

Name Address Specialty
Daryl Lum 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Spencer Adams 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Da Jin 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
Jesse Clark 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Gary Feigenbaum 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
William Reid 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Amy Wang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Shadi Vahdat 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Janet Ma 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Christine Haynes 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Rahul Vasavada 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
Wossen Belachew 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
Lillian Chen 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
William Miller 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Mohammed Farooqui 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Ramya Malchira 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Wendy Simon 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Michael Shye 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Michael Estes 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Khushboo Kaushal 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE

Zip 90404 · Medicare Physician

Name Address Specialty
Maitraya Patel 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Serena Wang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Michael Cohen 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INFECTIOUS DISEASE
Eileen Mcgrath 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Geoffery O Neill 1328 22nd St, Santa Monica, CA 90404-2091 ANESTHESIOLOGY
Stephanie Praw 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Jerry Loo 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Monica Mead 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Tsippora Shainhouse 2825 Santa Monica Blvd, Santa Monica, CA 90404-2492 DERMATOLOGY
Jessica Langer 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Lisa Dabby Joyce 1250 16th St, Santa Monica, CA 90404-1249 EMERGENCY MEDICINE
Michael Gold 2021 Santa Monica Blvd, Santa Monica, CA 90404-2162 NEUROLOGY
Amy Fee 1448 15th St, Santa Monica, CA 90404-2750 PHYSICAL THERAPY
Derjung Tarn 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Erik Lum 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NEPHROLOGY
Lillian Gelberg 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Rachel Ferrara 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Steven Weinstein 2021 Santa Monica Blvd, Santa Monica, CA 90404-2169 GENERAL SURGERY
Alistair Cochran 1250 16th St, Santa Monica, CA 90404-1249 PATHOLOGY
Robert Andrews 1301 20th St, Santa Monica, CA 90404-2087 OTOLARYNGOLOGY