Dr. Haley Marie Heitzman, DO
General Practice in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1154065613
StatusActive
Last updated in NPPESAug 26, 2025
Details
- NPI
- 1154065613
- Entity type
- Individual (NPI-1)
- Name
- Dr. Haley Marie Heitzman
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2022
- Certification date
- Aug 19, 2025
- Last updated
- Aug 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 61443703 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
62 Area MedicalCamp Pendleton, CA 92055
Phone 760-763-2106
Mailing address
200 Mercy CircleCamp Pendleton, CA 92055-5191
Other practice locations
200 Mercy Circle
Camp Pendleton, CA 92055-5191
Camp Pendleton, CA 92055-5191
Phone 509-961-9928
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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