Active NPI
Catherine Anne Hoelzer, PA-C
- Physician Assistant
- San Diego, CA
National Provider Identifier
1376842955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16562
- Practice address
- 5454 El Cajon Blvd
San Diego, CA 92115-3621 - Phone
- (619) 515-2400
- NPI assigned
- Mar 21, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16562 | CA | Primary |
Addresses
Primary practice location
5454 El Cajon Blvd
San Diego, CA 92115-3621
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 906-4623
Other practice location 1
823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 906-4556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K1671 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16562 | CA | MD | Dentist |
| PA16562 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1376842955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541",
"telephone_number": "619-906-4623",
"fax_number": "619-906-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153621",
"telephone_number": "619-515-2400"
}
],
"practiceLocations": [
{
"address_1": "823 Gateway Center Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921024541",
"country_code": "US",
"telephone_number": "619-906-4556",
"fax_number": "619-906-4564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOELZER",
"first_name": "CATHERINE",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K1671",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.