Heather Tamara Patz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

21565 Issued in CA

Practice address

4281 Katella Ave Ste 220
Los Alamitos, CA 90720-6506

Phone

(562) 252-0173

Fax

(949) 783-2845

NPI assigned

Apr 6, 2009

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  dba Las Vegas Skin and Cancer Clinics

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1295338416
  Medicare reassignment
• Parker Valley Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1467755249
  NPD
• Lorrie J Klein MD Apc

  • Dermatology Physician
  • Laguna Niguel, CA
  • NPI 1083631808
  NPD (past)
• J. Robert West, M.D., Inc

  dba West Dermatology

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997
  NPD (past)
• Traditions Emergency Medicine PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • College Station, TX
  • NPI 1396786232
  NPD (past)
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1255573234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 220",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206506",
            "telephone_number": "562-252-0173",
            "fax_number": "949-783-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZ",
        "first_name": "HEATHER",
        "middle_name": "TAMARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1477",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Patel, NP
• Pathways Community Services
• Patient Preferred Dermatology Medical Group, Inc.
• Patrick Jason Mulroy
• Sarah Patrick
• Deborah Pauer, MD
• Paul W. Gee, D.C., Inc
• Tami J Payne, PT
• Kayley Peacock, LEP, PPS
• Anthony Longo Peairs, PTA

• Physician Assistant in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.