Basic Information
| Provider Information | |||||||||
| NPI: | 1184706475 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HEESS | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2287 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933032287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613341958 | ||||||||
| FaxNumber: | 6613244095 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 LAS TABLAS RD | ||||||||
| Address2: | |||||||||
| City: | TEMPLETON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934659704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8054343500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 11/15/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A60636 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | ZZZ21367Z | 01 | CA | EMPIRE SURGERY CENTER | OTHER | ZZZ15998Z | 01 | CA | MERCY SW HOSPITAL | OTHER | P00397229 | 01 | CA | INDIVIDUAL RAILROAD | OTHER | CD4582 | 01 | CA | GROUP RAILROAD | OTHER | ZZZ15999Z | 01 | CA | MEMORIAL HOSPITAL | OTHER | ZZZ21365Z | 01 | CA | PPSC | OTHER | 00A606360 | 05 | CA | MEDICAID | ZZZ21366Z | 01 | CA | SWSC | OTHER | ZZZ34009Z | 01 | CA | MERCY HOSPITAL | OTHER |