Individual provider Active NPI

Heather N Valasek, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1063011617
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58685 Issued in CA
Practice address
1140 Exposition Blvd Ste 700
Sacramento, CA 95815-4334
Phone
(916) 333-2542
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58685 CA Primary

Addresses

Primary practice location

1140 Exposition Blvd Ste 700
Sacramento, CA 95815-4334

Mailing address

3756 Miller Way
Sacramento, CA 95817-1327
Phone (214) 732-1143

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL customerservice@mduc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58685CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Urgent Care Inc CurrentSince Oct 25, 2020 Accepting new patients
Anew Aesthetics by Physician Assistants, Inc. Current Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Feb 1, 2020 Accepting new patients

Locations

1140 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 333-2542

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1063011617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 MILLER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171327",
            "telephone_number": "214-732-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EXPOSITION BLVD STE 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154334",
            "telephone_number": "916-333-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALASEK",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "customerservice@mduc.org",
            "affiliation": "N",
            "address_1": "1140 Exposition Blvd Ste 700",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958154334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.