DEBORAH HEUERMAN (NPI# 1023131778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023131778 |
| Entity Type | Individual |
| Full Name | DEBORAH HEUERMAN |
| Credential | P.A. |
| Practice Address |
1798 Bay Rd # A East Palo Alto CA 94303-1611 |
| Practice Telephone | 6503307400 |
| Practice Fax Number | 6503211156 |
| Mailing Telephone | 6503307400 |
| Mailing Fax Number | 6503211156 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
13291 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA LICENSE | MH1206689 | 01 |
| Street Address |
1798 BAY RD # A |
| City | EAST PALO ALTO |
| State | CA |
| Zip Code | 94303-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144307141 | Cynthia De Tata | Family Medicine | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2006-11-01 |
| 1649393802 | Margaret Allen | Physician Assistant | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2007-04-10 |
| 1063535722 | Lucinda Hirahoaka | Physician Assistant | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2007-04-09 |
| 1952424533 | Amy Wolfe | Nurse Practitioner | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2007-04-09 |
| 1376697482 | South County Community Health Center Inc. | Clinic/Center | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2007-01-23 |
| 1033269451 | Rebecca Anderson Pinto | Physician Assistant | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2007-01-10 |
| 1730268756 | Valerie Berry | Family Medicine | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2006-11-02 |
| 1538248612 | Lawrence Bruguera | Family Medicine | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2006-11-02 |
| 1467539460 | Amanda Haiman | Pediatrics | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2006-11-01 |
| 1205913217 | Pamela Riley | Family Medicine | 1798 Bay Rd # A, East Palo Alto, CA 94303-1611 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184957771 | South County Community Health Center, Inc. | Clinic/Center | 1807 Bay Road, East Palo Alto, CA 94303-1312 | 2009-09-14 |
| 1245695881 | South County Community Health Center, Inc. | Clinic/Center | 1885 Bay Rd, East Palo Alto, CA 94303-1312 | 2015-12-28 |
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| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST PALO ALTO |
| Zip Code | 94303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.