Active NPI
Heather WM Ontiveros, PA-C
- Physician Assistant
- Murrieta, CA
National Provider Identifier
1386890838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19832
- Practice address
- 41880 Kalmia St Ste 100
Murrieta, CA 92562-8835 - Phone
- (951) 696-7587
- NPI assigned
- Aug 15, 2008
- Last updated
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PA19832 | CA | Primary |
Addresses
Primary practice location
41880 Kalmia St Ste 100
Murrieta, CA 92562-8835
Mailing address
29513 Luxor Rd
Menifee
Menifee, CA 92584-8604
Phone (951) 375-0509
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 |
|---|---|---|---|
| PA19832 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1386890838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29513 LUXOR RD",
"address_2": "MENIFEE",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925848604",
"telephone_number": "951-375-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41880 KALMIA ST STE 100",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925628835",
"telephone_number": "951-696-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONTIVEROS",
"first_name": "HEATHER",
"middle_name": "WM",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA19832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.