ISEL HEREDIA
NPI 1104705037
Nurse Practitioner - Primary Care in Santa Ana, CA

Q: What is Isel Heredia's NPI number?

The NPI number for Isel Heredia is 1104705037. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Q: What is Isel Heredia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Isel Heredia was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2025PECOS Enrolled

520 N MAIN ST STE 120, SANTA ANA, CA 92701(714) 352-5800(714) 352-5801 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Isel Heredia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISEL HEREDIA (NPI 1104705037) is an individual primary care provider in Santa Ana, California, licensed in California (95070403) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Ana, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104705037

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameISEL HEREDIA

Location Address520 N MAIN ST STE 120Santa Ana, CA 92701-4623

Mailing Address1000 W Macarthur Blvd Apt 59Santa Ana, CA 92707-4652 · (714) 309-9306

Phone(714) 352-5800

Fax(714) 352-5801

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 27, 2025

Last NPPES UpdateJanuary 29, 2026

NPPES CertifiedJanuary 29, 2026

✔ NPI 1104705037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95070403

520 N MAIN ST STE 120, Santa Ana, CA 92701

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Secondary Practice Location 1

Location 1520 N Main St Ste 220Santa Ana, CA 92701-4623 · Phone (714) 543-5609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isel Heredia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416438148

PECOS Enrollment IDI20260220002544

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERGIO R. AGUILAR, DDS, INC.

Dentist (General Practice)