Individual
DR. CHRISTIAN S HEYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4140 JADE ST STE 100, CAPITOLA, CA 95010-3940
(831) 475-4024
(831) 475-4344
Mailing address
4140 JADE ST STE 100, CAPITOLA, CA 95010-3940
(831) 475-4024
(831) 475-4344
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A108711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124398235
GROUP NPI
CA
01
—
6740500001
GROUP MEDICARE PTAN
CA
01
—
6740500002
GROUP MEDICARE PTAN
CA
01
—
A108711
STATE LICENSE
CA
01
—
CA245861
GROUP MEDICARE PIN
CA
Enumeration date
06/04/2008
Last updated
11/12/2025
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