HEARTSTONE CA HEALTH PROVIDER INC
NPI 1386529469
Clinic/Center - Medical Specialty in Los Angeles, CA

Active since August 07, 2025
3111 LOS FELIZ BLVD STE 210, LOS ANGELES, CA 90039(415) 425-0684 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Aug 7, 2025 (2 updates tracked since 2025).

About Heartstone Ca Health Provider Inc NPPES

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

HEARTSTONE CA HEALTH PROVIDER INC (NPI 1386529469) is a healthcare organization registered as a medical specialty in Los Angeles, California and active in the NPI registry since August 2025. The organization lists Nathaniel Rance Pena, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1386529469
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameHEARTSTONE CA HEALTH PROVIDER INC
Location Address3111 LOS FELIZ BLVD STE 210Los Angeles, CA 90039-1585
Mailing Address3111 Los Feliz Blvd Ste 210Los Angeles, CA 90039-1585 · (415) 425-0684
Organization SubpartNo
Authorized OfficialNathaniel Rance PenaCo-owner · (818) 927-9576
Enumeration DateAugust 7, 2025
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1386529469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/CenterTaxonomy 261Q00000X
3111 LOS FELIZ BLVD STE 210, Los Angeles, CA 90039

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heartstone Ca Health Provider Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Heartstone Ca Health Provider Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1144774613
709 BOWCREEK DR
Diamond Bar, CA 91765
(770) 895-8483
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1750170411
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartstone Ca Health Provider Inc's NPI number?

The NPI number for Heartstone Ca Health Provider Inc is 1386529469. It was assigned to this organization in the NPPES registry on August 7, 2025.

Where is Heartstone Ca Health Provider Inc located?

Heartstone Ca Health Provider Inc is located at 3111 Los Feliz Blvd Ste 210, Los Angeles, CA 90039. The listed phone number is (415) 425-0684.

What is Heartstone Ca Health Provider Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Heartstone Ca Health Provider Inc enrolled in Medicare?

Yes. Heartstone Ca Health Provider Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartstone Ca Health Provider Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Heartstone Ca Health Provider Inc, in General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heartstone Ca Health Provider Inc was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.