Individual provider Active NPI

Heba Desouky

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1043713795
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18362 Issued in CA
Practice address
535 Mission Bay Blvd S
San Francisco, CA 94143-2156
Phone
(415) 310-1248
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18362 CA Primary

Addresses

Primary practice location

535 Mission Bay Blvd S
San Francisco, CA 94143-2156

Mailing address

535 Mission Bay Blvd S
San Francisco, CA 94143-2156
Phone (415) 310-1248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619000333 CA Practitioner - Nurse Practitioner 1355884362 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Jun 1, 2024 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Jun 1, 2024 Accepting new patients
UCSF Medical Center Current Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1043713795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MISSION BAY BLVD S",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432156",
            "telephone_number": "415-310-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MISSION BAY BLVD S",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432156",
            "telephone_number": "415-310-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUKY",
        "first_name": "HEBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "18362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.