WANDA HEFFERNON M.D.
NPI 1659753614
General Practice in Oakland, CA

Q: What is Wanda Heffernon's NPI number?

The NPI number for Wanda Heffernon is 1659753614. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Wanda Heffernon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Heffernon was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 25, 2015

2360 SCOUT RD, OAKLAND, CA 94611(415) 672-9861 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wanda Heffernon M.d. NPPES

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

WANDA HEFFERNON M.D. (NPI 1659753614) is an individual general practice provider in Oakland, California, licensed in California (G81259) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1659753614

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameWANDA HEFFERNONCredential: M.D.

Location Address2360 SCOUT RDOakland, CA 94611-2724

Mailing Address2360 Scout RdOakland, CA 94611-2724 · (415) 672-9861

Phone(415) 672-9861

Sole ProprietorNo

Enumeration DateJune 25, 2015

✔ NPI 1659753614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · G81259

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2360 SCOUT RD, Oakland, CA 94611

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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 Wanda Heffernon's NPI number?

The NPI number for Wanda Heffernon is 1659753614. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Wanda Heffernon located?

Wanda Heffernon practices at 2360 Scout Rd, Oakland, CA 94611. The listed phone number is (415) 672-9861.

What is Wanda Heffernon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wanda Heffernon was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.