Individual provider Active NPI

Nicole Hebert

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1659803096
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A172710 Issued in CA
Practice address
77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480
Phone
(916) 920-2082
NPI assigned
Apr 3, 2017
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A172710 CA Primary

Addresses

Primary practice location

77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480

Mailing address

77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480
Phone (916) 920-2082

Other practice location 1

8120 Timberlake Way Ste 201
Sacramento, CA 95823-5414
Phone (916) 920-2082

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830003063 CA Practitioner - Obstetrics/Gynecology 5698012284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

8120 Timberlake Way
Suite 102
Sacramento, CA 95823-5413
Phone (916) 681-6102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A172710CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Single Specialty CurrentSince Jun 28, 2022 Accepting new patients
Dignity Health Medical Foundation Single Specialty Current Accepting new patients
Capital OB/GYN, Inc. Single Specialty CurrentSince Jun 7, 2021 Accepting new patients
Dignity Health Medical Foundation Single Specialty CurrentSince Jun 28, 2022 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

1735 Creekside Dr
Folsom, CA 95630
Phone (916) 983-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

2901 K St
Ste 209
Sacramento, CA 95816
Phone (916) 744-2620

77 Cadillac Dr
Ste 230
Sacramento, CA 95825
Phone (916) 920-2082

8120 Timberlake Way
Ste 102
Sacramento, CA 95823
Phone (916) 681-6102

8120 Timberlake Way
Ste 107
Sacramento, CA 95823
Phone (916) 681-6000

8120 Timberlake Way
Ste 201
Sacramento, CA 95823
Phone (916) 525-0620

2101 Stone Blvd
Ste 110
West Sacramento, CA 95691
Phone (916) 920-2082

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1659803096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255480",
            "telephone_number": "916-920-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255480",
            "telephone_number": "916-920-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8120 Timberlake Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958235414",
            "country_code": "US",
            "telephone_number": "916-920-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A172710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.