MATTHEW HEFFERNAN OTR/L
NPI 1396290144
Occupational Therapist in Oakland, CA
About Matthew Heffernan Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW HEFFERNAN OTR/L (NPI 1396290144) is an individual occupational therapist in Oakland, California, licensed in California (OT16517) and active in the NPI registry since August 2016.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Heffernan Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Heffernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 Matthew Heffernan's NPI number?
The NPI number for Matthew Heffernan is 1396290144. It was assigned to this individual provider in the NPPES registry on August 22, 2016.
Where is Matthew Heffernan located?
Matthew Heffernan practices at 3830 Clarke St Apt B None, Oakland, CA 94609. The listed phone number is (209) 380-5122.
What is Matthew Heffernan's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Matthew Heffernan enrolled in Medicare?
Yes. Matthew Heffernan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthew Heffernan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Heffernan reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Matthew Heffernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Heffernan was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.