Active NPI
Heather Pacheco
- Dermatology Physician
- Encinitas, CA
National Provider Identifier
1184968398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- Z86741
- Practice address
- 285 N El Camino Real # 100-19
Encinitas, CA 92024-5383 - Phone
- (760) 705-0599
- NPI assigned
- Nov 12, 2012
- Last updated
- Nov 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Z86741 | CA | Primary |
Addresses
Primary practice location
285 N El Camino Real # 100-19
Encinitas, CA 92024-5383
Mailing address
285 N El Camino Real # 100-19
Encinitas, CA 92024-5383
Phone (760) 705-0599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z86741 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1184968398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 N EL CAMINO REAL # 100-19",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245383",
"telephone_number": "760-705-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 N EL CAMINO REAL # 100-19",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245383",
"telephone_number": "760-705-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "Z86741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
- Betty Owen, M.S., LMFT
- James Patrick Owen, O.D.
- Jeffrey Scott Owen, PHD
- Laurie M. Owen, M.A.
- Khan Ozberak
- Madison Pachoe, FNP
- Pacific Coast Women's HLTH
- Pacific International Acupuncture & Healing, Inc (Pacific International Health Center)
- Pacific Orthopaedics & Sports Medicine
- Pacific Surgical Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.