Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anisa Heravian, MD

Individual provider Emergency Medicine Physician · NPI 1861768947

Anisa Heravian, MD is an Emergency Medicine in Vacaville, California. Qualified in 2012, 14 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

702 Hillcrest Cir
Vacaville, CA 95688-1046
Phone: (707) 685-6122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 291521 (NY)

Record details

NPI number1861768947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESMarch 19, 2023
Certification dateMarch 19, 2023
Mailing address622 W 168th St # Vc2-260, New York, NY 10032-3720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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