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DR. LARRY IRA HEISS MD
NPI 1629192687
Family Medicine in Fort Bragg, CA

Active since March 16, 2007
205 SOUTH ST, FORT BRAGG, CA 95437(707) 964-1251(707) 961-2722 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry Ira Heiss Md NPPES

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

DR. LARRY IRA HEISS MD (NPI 1629192687) is an individual family medicine provider in Fort Bragg, California, licensed in California (G28236) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1629192687
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LARRY IRA HEISSCredential: MD
Location Address205 SOUTH STFort Bragg, CA 95437-5540
Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251 · Fax (707) 961-2722
Phone(707) 964-1251
Fax(707) 961-2722
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 11, 2014
✔ NPI 1629192687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G28236
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
205 SOUTH ST, Fort Bragg, CA 95437
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Other Identifiers 3

Medicare UPINA43657CA
MedicaidFHC03967FCA
Medicare PIN55-1813CA

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.

MR. RICHARD WILLIAM JAULUS LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. KIMBERLY JILL CELERI RDH
Dental Hygienist
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
JOHN T WALLACE II MD
Internal Medicine
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. RENA BLAUNER LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. LYNNE BARBARA BORNHEIM LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-4088
SONIA CASTRO
Health Educator
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-3434
MR. MITCHELL PAUL KERMAN ACUPUNCTURIST
Acupuncturist
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
DAVID TODD STEIN ASW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-4088

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 Larry Heiss's NPI number?

The NPI number for Larry Heiss is 1629192687. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Larry Heiss located?

Larry Heiss practices at 205 South St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1251.

What is Larry Heiss's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Heiss was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.