Individual provider Active NPI

Catherine Jean Heymann, PA-C

  • Physician Assistant
  • Daly City, CA
National Provider Identifier
1386790657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13569 Issued in CA
Practice address
1800 Sullivan Ave RM 408
Daly City, CA 94015-2224
Phone
(650) 994-9771
Fax
(650) 994-0341
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13569 CA Primary

Addresses

Primary practice location

1800 Sullivan Ave RM 408
Daly City, CA 94015-2224

Mailing address

3712 Branson Dr
San Mateo, CA 94403-2906
Phone (650) 574-5176

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

LicenseStateTypeSpecialty
13569CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386790657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 BRANSON DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032906",
            "telephone_number": "650-574-5176",
            "fax_number": "650-571-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 408",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152224",
            "telephone_number": "650-994-9771",
            "fax_number": "650-994-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYMANN",
        "first_name": "CATHERINE",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.