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

Russell Tyrone Heckburn, MD

Individual provider Family Medicine Physician · NPI 1518617919

Russell Tyrone Heckburn, MD is a Family Practice in Marysville, California. Qualified in 2019, 7 years ago. Practices with Peach Tree Healthcare, a 33-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2022
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

5730 Packard Ave Ste 500
Marysville, CA 95901-7119
Phone: (530) 749-3242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A202023 (CA)

Record details

NPI number1518617919
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peach Tree Healthcare — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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