HEIDI M KEESIS (NPI# 1871809574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871809574 |
| Entity Type | Individual |
| Full Name | HEIDI M KEESIS |
| Credential | PA-C |
| Practice Address |
715 Altos Oaks Dr Los Altos CA 94024-5402 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6509347020 |
| Mailing Telephone | 6509347020 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 17824 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | PA17824 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 795 El Camino Real, Palo Alto, CA 943012302 | 6503305839 |
| Street Address |
715 ALTOS OAKS DR |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94024-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023176625 | John Louis Nicholson | Clinic/Center | 715 Altos Oaks Dr, Los Altos, CA 94024-5402 | 2006-12-05 |
| 1568851327 | Sutter Bay Medical Foundation | Clinic/Center | 715 Altos Oaks Dr, Los Altos, CA 94024-5402 | 2015-01-16 |
| 1588723068 | Benjamin Maser | Surgery | 715 Altos Oaks Dr, Los Altos, CA 94024-5402 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383431 | Panakos Acupuncture Clinic | Clinic/Center | 851 Fremont Ave, Suite 114, Los Altos, CA 94024 | 2015-08-06 |
| 1487030078 | Nicole Lew | Physical Therapist | 1330 Bright Oaks Ct., Los Altos, CA 94024 | 2015-08-05 |
| 1255718144 | Ciara Johnson | Physical Medicine & Rehabilitation | 1635 Candace Way, Los Altos, CA 94024 | 2015-04-30 |
| 1639479744 | Eileen R Goldman | Marriage & Family Therapist | 2551 Grant Road, Mountain View, CA 94024 | 2010-10-25 |
| 1285890368 | Neilesh Shashikant Patel | Dentist | 595 Loyola, Los Altos, CA 94024 | 2008-07-29 |
| 1841478328 | Alejandro A Zaffaroni Md Inc | Ophthalmology | 762 Altos Oaks Drive, Suite 1, Los Altos, CA 94024 | 2008-02-06 |
| 1710164843 | Donald Robert Watters | Dentist | 851 Fremont Ave., Suite 101, Los Altos, CA 94024 | 2008-01-31 |
| 1508060443 | Verna Lee Stivender | Durable Medical Equipment & Medical Supplies | 1564 Miramonte Avenue, #a, Los Altos, CA 94024 | 2007-06-13 |
| 1770700627 | Deborah Amy Rovine | Psychiatry & Neurology | 1000 Fremont Ave Ste 250d, Los Altos, CA 94024 | 2007-04-20 |
| 1669503082 | Sheila Huang Humphries | Internal Medicine | 811 Altos Oaks Drive, Suite 2, Los Altos, CA 94024 | 2007-03-08 |
| Find all providers in zip 94024 | ||||
| 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 |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
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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.