Active NPI
Wendy F Heller, DO
- Family Medicine Physician
- Sacramento, CA
National Provider Identifier
1316148331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15351
- Practice address
- 1820 J St
Sacramento, CA 95811-3010 - Phone
- (167) 375-5555
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15351 | CA | Primary |
Addresses
Primary practice location
1820 J St
Sacramento, CA 95811-3010
Mailing address
1820 J St
Sacramento, CA 95811-3010
Phone (167) 375-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100004950A | Medicaid | OK |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15351 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients |
Locations
631 H St
Sacramento, CA 95814
Phone (916) 469-4714
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
Interoperability endpoints
- wendy.heller.p1@direct.wellspacehealth.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Roseville, CA
- NPI 1811262348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1316148331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958113010",
"telephone_number": "167-375-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958113010",
"telephone_number": "167-375-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "WENDY",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "15351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100004950A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.