MEREDITH L HEIDENFELD (NPI# 1417954108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417954108 |
| Entity Type | Individual |
| Full Name | MEREDITH L HEIDENFELD |
| Credential | PA-C |
| Practice Address |
150 Valpreda Rd San Marcos CA 92069-2973 |
| Practice Telephone | 7607366767 |
| Practice Fax Number | 7607368740 |
| Mailing Telephone | (760) 736-6703 |
| Mailing Fax Number | 7607368740 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54355 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA2004-0013 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2004-0013 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 19809352 | 05 |
| Street Address |
150 VALPREDA RD |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92069-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477010445 | Cindi Hedrick | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2019-02-26 |
| 1376010488 | Allison Fain Moecher | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-10-26 |
| 1245733450 | Suzanne Marie Simmons | Registered Nurse | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-03-14 |
| 1194224345 | Evelyn L Ciampa | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2018-02-02 |
| 1659898641 | Jean Lee Vetter | Social Worker | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2017-08-29 |
| 1699222620 | Alejandra Cabral | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-09-07 |
| 1841649761 | Ryan Clapp | Nurse Practitioner | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-06-10 |
| 1790133767 | Kaden Gray Willie | Family Medicine | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-05-31 |
| 1790144756 | Janet Araceli Garcia | Counselor | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2016-02-18 |
| 1083094510 | Julie Matias | Family Medicine | 150 Valpreda Rd, San Marcos, CA 92069 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364071 | Doreatha Yvonne Gandy-edmundson | Social Worker | 112 North Centre City Parkway, Unit 103, San Marcos, CA 92069 | 2020-04-13 |
| 1588150296 | Martha Gallo | Adult Companion | 1227 Armorlite Dr Apt 102, San Marcos, CA 92069 | 2018-07-05 |
| 1508357765 | Jensen Moore | Chiropractor | 370 Mulberry Dr Ste C, San Marcos, CA 92069 | 2018-05-23 |
| 1457870156 | Brandie Janette Limon-nava | Counselor | 751 Rancheros Dr Suite 5, San Marcos, CA 92069 | 2017-09-13 |
| 1336436872 | Vivek Solanki | Dentist | 197 Woodland Pkwy #100, Mission Hills Family Dental, San Marcos, CA 92069 | 2011-07-05 |
| 1558689448 | Jessie Janette Hiatt | Marriage & Family Therapist | 330 Rancheros Dr Ste 218, San Marcos, CA 92069 | 2010-05-17 |
| 1407174113 | Daniel Reinke | Counselor | 1560 Capalina Road, San Marcos, CA 92069 | 2010-05-06 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1124220926 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 997 Woodland Pkwy, San Marcos, CA 92069 | 2007-06-04 |
| 1275755845 | Davoudi Dds Inc. | Dentist | 979 Woodland Parkway, Suite 100, San Marcos, CA 92069 | 2007-05-03 |
| Find all providers in zip 92069 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161529 | Kristen Baranowski | Physician Assistant | 1202 Clovis Barker Rd, San Marcos, TX 78666-5386 | 2019-05-30 |
| 1154621951 | Lindsey Martinez | Physician Assistant | 2001 Medical Pkwy Ste C, San Marcos, TX 78666-7581 | 2010-10-26 |
| 1902130842 | Tiara Christine Esani | Physician Assistant | 277 Rancheros Drive, Suite 100, San Marcos, CA 92069 | 2009-09-24 |
| 1073746632 | Amanda Louise Tam | Physician Assistant | 1920 Corporate Dr Ste 208, San Marcos, TX 78666-6286 | 2009-08-31 |
| 1447480462 | Austin Neurosurgical and Spine Institute, Pa | Physician Assistant | 310 Stagecoach Trl Ste 200b, San Marcos, TX 78666-5137 | 2009-07-24 |
| 1679125546 | Micah Elise Williams | Physician Assistant | 1605 Redwood Rd, San Marcos, TX 78666-9734 | 2019-07-11 |
| 1013569284 | Katharyn Elizabeth Joy Carey-woodard | Physician Assistant | 1290 Wonder World Dr Ste 1100, San Marcos, TX 78666-7969 | 2019-07-09 |
| 1902358237 | Flor M Leon | Physician Assistant | 727 W San Marcos Blvd, Suite 112, San Marcos, CA 92078-1244 | 2016-11-03 |
| 1366810384 | Ciera Johnson Simmons | Physician Assistant | 1251 Sadler Dr Ste 2100, San Marcos, TX 78666-8629 | 2015-09-08 |
| 1336534205 | Hcem Emergency Medical Associates, Pa | Physician Assistant | 1301 Wonder World Dr, San Marcos, TX 78666-7533 | 2015-03-30 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92069 |
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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.