Look up the most recent NPI and PECOS records

Mark James Hedinger

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

PECOS Enrollment

Based on the most recent information from CMS, provider Mark James Hedinger does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1285389189
Provider Type
Individual
Full Name
Hedinger, Mark James
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
2/18/2022
Last Updated
6/16/2025

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400

Unlisted Fax

Mailing Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 20A21665 California
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 20A21665 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Mark James Hedinger

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Hausner, Jacqueline Marie

Stewart, Hanna

Durrua, Kelle

Gedestad, Michael

Perez-Cintron, Alfredo T

Kim, Hyun Jo Michael

Simmons, Brighid Hayes

Peters, Sara Nolte

Clavijo Fernandez, Marcos Antonio

Schlager, Samuel Harrison