Active NPI
Lori S Heuser, PA-C
- Medical Physician Assistant
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 12494
- Practice address
- 1000 Fowler
Placerville, CA 95667-4511 - Phone
- (531) 621-3600
- Fax
- (530) 626-7617
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 12494 | CA | Primary |
Addresses
Primary practice location
1000 Fowler
Placerville, CA 95667-4511
Mailing address
1000 Fowler Way
Placerville, CA 95667-5738
Phone (530) 621-3600
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 |
|---|---|---|---|
| 12494 | CA | MD | Mental Health Counselor |
| PA 12494 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Current | Accepting new patients | |
| Marshall Medical Center | Current | Accepting new patients | |
| Placerville Family Practice Medical Group, Inc | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
905 Spring St
Placerville, CA 95667
Phone (530) 626-8300
1000 Fowler Way
Placerville, CA 95667
Phone (530) 295-8460
Organizations & group practices 3
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.
-
- Family Medicine Physician
- El Dorado Hills, CA
- NPI 1114727377
-
dba Marshall Family Medicine El Dorado Hills
- Family Medicine Physician
- El Dorado Hills, CA
- NPI 1972657559
-
- Family Medicine Physician
- Placerville, CA
- NPI 1508884073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1649352865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 FOWLER WAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675738",
"telephone_number": "530-621-3600",
"fax_number": "530-626-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FOWLER",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674511",
"telephone_number": "531-621-3600",
"fax_number": "530-626-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUSER",
"first_name": "LORI",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 12494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.