Active NPI
Colleen Erin Heiby, PA-C
- Medical Physician Assistant
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 52294
- Practice address
- 8735 Sierra College Blvd Ste 200
Roseville, CA 95661-5992 - Phone
- (916) 771-2531
- NPI assigned
- Dec 11, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057237 | PA | |
| Medical Physician Assistant | 363AM0700X | 52294 | CA | Primary |
Addresses
Primary practice location
8735 Sierra College Blvd Ste 200
Roseville, CA 95661-5992
Mailing address
858 42ND St
Sacramento, CA 95819-2726
Phone (607) 341-8020
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2055 Town Ctr PLZ
Suite G130
West Sacramento, CA 95691-5058
Phone (916) 887-7471
2537 Fair Oaks Blvd
Sacramento, CA 95825-7690
Phone (916) 887-4108
2800 L St
Sacramento, CA 95816-5616
2860 Del Paso Rd
Suite 100
Sacramento, CA 95834-9677
Phone (916) 887-7471
4010 Foothills Blvd
Suite 102
Roseville, CA 95747-7241
Phone (800) 972-5547
4810 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-4191
Phone (800) 972-5547
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52294 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Physician Assistant | Current | Accepting new patients |
| Pulmonary Medicine Associates Sleep Lab Inc. | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients |
Locations
6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590
1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040
Interoperability endpoints
- chelby685264@hisp.ehr.sutterhealth.org
- cclarke319004@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Allergy & Immunology Physician
- Roseville, CA
- NPI 1528674793
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1407880719
-
- Emergency Medicine Physician
- Auburn, CA
- NPI 1700184819
-
- Sleep Disorder Diagnostic Clinic/Center
- Sacramento, CA
- NPI 1255359378
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1407254162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "858 42ND ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192726",
"telephone_number": "607-341-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8735 SIERRA COLLEGE BLVD STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956615992",
"telephone_number": "916-771-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIBY",
"first_name": "COLLEEN",
"middle_name": "ERIN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057237",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "52294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.