DR. JONATHAN ALCANTAR-HEREDIA MD
NPI 1205401189
Urology in Duarte, CA

Q: What is Jonathan Alcantar-heredia's NPI number?

The NPI number for Jonathan Alcantar-heredia is 1205401189. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Jonathan Alcantar-heredia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 24, 2021PECOS Enrolled

1500 DUARTE RD, DUARTE, CA 91010(800) 826-4673 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, May 24, 2021 (2 updates tracked since 2021).

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About Dr. Jonathan Alcantar-heredia Md NPPES

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

DR. JONATHAN ALCANTAR-HEREDIA MD (NPI 1205401189) is an individual urology provider in Duarte, California, licensed in California (A204606) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Irvine, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205401189

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. JONATHAN ALCANTAR-HEREDIACredential: MD

Location Address1500 DUARTE RDDuarte, CA 91010-3012

Mailing AddressPo Box 512185Los Angeles, CA 90051-0185

Phone(800) 826-4673

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 24, 2021

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1205401189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A204606

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1500 DUARTE RD, Duarte, CA 91010

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Secondary Practice Location 1

Location 11000 FivepointIrvine, CA 92618-2377 · Phone (800) 826-4673

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Alcantar-heredia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951703701

PECOS Enrollment IDI20260427001316

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 91010 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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 20

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

SASAN FAZELI M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)