Individual provider · Type 1 NPI

Isel Heredia

Primary Care Nurse Practitioner · Santa Ana, CA

NPI number 1104705037 Active

Practice location

520 N Main St Ste 120
Santa Ana, CA 92701-4623

Call (714) 352-5800 Map

Fax (714) 352-5801

Mailing address

1000 W Macarthur Blvd Apt 59
Santa Ana, CA 92707-4652

Other practice locations

  • 520 N Main St Ste 220, Santa Ana, CA 92701-4623 · (714) 543-5609

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95070403 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1104705037

Isel Heredia's National Provider Identifier is 1104705037, issued on Aug 27, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 29, 2026.