Heather Marie Caldwell, PA-C
Individual provider Active NPI Physician Assistant · Alturas, CA
NPI 1376100883 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1376100883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 56788 (CA)
- Practice address
- 229 West McDowell Avenue
Alturas, CA 96101 - Phone
- (530) 233-7052
- Fax
- (530) 233-4302
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Last Frontier Healthcare District
Practice addresses (Care Compare)
1111 N Nagle St
Alturas, CA 96101-3840
Hospital & facility affiliations
- Modoc Medical Center
- Lake District Hospital
- Sky Lakes Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190731000314 | CA | Practitioner - Physician Assistant | 8820324726 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56788 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Last Frontier Healthcare District | Current |
Accepting new patients |
Locations
228 W McDowell Ave
Alturas, CA 96101
Phone (530) 233-5131
229 W McDowell Ave
Alturas, CA 96101
Phone (530) 233-5131
120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054
1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 56788 | CA | Yes |
Addresses
Primary practice location
229 West McDowell Avenue
Alturas, CA 96101
Mailing address
228 West McDowell Avenue
Alturas, CA 96101
Phone (530) 233-7052
Other providers in Alturas, CA
- Keith Nicholas Breyer
- Elayna Brown
- Robert David Buck
- Nyia Joanna Burnette
- Myriah Amberelle Busch
- Stacey Lynn Case
- Ryan Christopher Ciantar
- Peggy Ann Clevinger
- Haley Ann Conger
- Carmen Marie Coronado
All providers in Alturas, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.