Heather Teresa D'Eliso Gordon, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

897892 Issued in CA

Practice address

2241 Geary Blvd
Health Education Dept
San Francisco, CA 94115-3415

Phone

(415) 833-7800

Fax

(415) 833-4877

NPI assigned

May 15, 2007

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1609082569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 GEARY BLVD",
            "address_2": "HEALTH EDUCATION DEPT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 GEARY BLVD",
            "address_2": "HEALTH EDUCATION DEPT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153415",
            "telephone_number": "415-833-7800",
            "fax_number": "415-833-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ELISO GORDON",
        "first_name": "HEATHER",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "897892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2241 Geary Blvd",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941153415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan D'Andrea
• Sandra A D'Angelo
• Nicole Tatsui D'Arcy, M.D.
• Justin Matthew D'Avella, PSY.D.
• Matthew Anthony D'Elena, DPT
• Trevor D'Sa
• Indira Ann D'Souza, MPH
• Jessica Andrea Da Mota, MD
• Jeana Theresa Da Re, PHD, FACMG
• Joana Maria Da Rosa, D.C., D.A.B.C.O.

• Registered Dietitian in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.