HEATHER H ELLEDGE (NPI# 1689006819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689006819 |
| Entity Type | Individual |
| Full Name | HEATHER H ELLEDGE |
| Credential | PA-C |
| Practice Address |
15047 Los Gatos Blvd Los Gatos CA 95032-2054 |
| Mailing Address |
1570 S Wolfe Rd Sunnyvale CA 94087-4854 |
| Practice Telephone | 2482254408 |
| Mailing Telephone | 2482254408 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA23119 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15047 LOS GATOS BLVD |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134229735 | Kelly Ann Nix | Podiatrist | 15047 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2054 | 2006-09-24 |
| 1740744234 | Ravneet Singh | Physician Assistant | 15047 Los Gatos Blvd, Los Gatos, CA 95032-2054 | 2019-01-29 |
| 1649710476 | Jessica Goza | Nurse Practitioner | 15047 Los Gatos Blvd, Ste. 200, Los Gatos, CA 95032-2054 | 2017-02-27 |
| 1063950640 | Alyssa Gomez | Nurse Practitioner | 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032-2054 | 2017-02-03 |
| 1710433594 | Abaci and Massey Pain Management, A Medical Coporation | Marriage & Family Therapist | 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032-2054 | 2016-08-31 |
| 1528333457 | Antoinette T. Morley | Counselor | 15047 Los Gatos Blvd, Ste 200, Los Gatos, CA 95032-2054 | 2012-03-10 |
| 1609156702 | Michael F. Sullivan | Physical Therapist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2011-08-19 |
| 1427343714 | Anne Perry | Psychologist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2011-06-14 |
| 1689805947 | Jacqueline Crowell | Physical Therapist | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2009-08-05 |
| 1467680124 | Robin Kabigting Matias | Physical Medicine & Rehabilitation | 15047 Los Gatos Blvd, Suite 200, Los Gatos, CA 95032-2054 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| 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 |
|---|---|---|---|---|
| 1831715531 | Rachelle Dudero | Physician Assistant | 14777 Los Gatos Blvd Ste 202, Los Gatos, CA 95032-2059 | 2020-06-18 |
| 1063064483 | Elysia Truong Mcnulty | Physician Assistant | 16388 Los Gatos Almaden Rd, Los Gatos, CA 95032-3618 | 2019-07-15 |
| 1982073169 | Kathryn Martin | Physician Assistant | 640 Blossom Hill Rd Ste A, Los Gatos, CA 95032-4564 | 2015-09-17 |
| 1548562671 | Roshni Balkrishna Desai | Physician Assistant | 14777 Los Gatos Blvd, Suit 105, Los Gatos, CA 95032-2059 | 2010-11-22 |
| 1457670895 | Yeelan Chen Johnson | Physician Assistant | 60 Old Orchard Rd, Los Gatos, CA 95033-8028 | 2010-05-25 |
| 1306174024 | Megan Elizabeth Baumbach | Physician Assistant | 777 Knowles Dr Ste 16, Los Gatos, CA 95032-1417 | 2009-11-19 |
| 1528241593 | Preston Landon Williams | Physician Assistant | 14850 Oka Rd Apt 5, Los Gatos, CA 95032-1926 | 2007-12-12 |
| 1265497630 | Kirsten C Duggins | Physician Assistant | 221 Brooke Acres Dr, Los Gatos, CA 95032-6462 | 2006-04-19 |
| 1215916135 | Tara Nicole Kuroiwa | Physician Assistant | 15425 Los Gatos Blvd, Suite 210, Los Gatos, CA 95032-2553 | 2006-01-10 |
| 1740744234 | Ravneet Singh | Physician Assistant | 15047 Los Gatos Blvd, Los Gatos, CA 95032-2054 | 2019-01-29 |
| Find all providers in LOS GATOS | ||||
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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.