Individual provider Active NPI

Heather Ann Rocha, PA-C

  • Physician Assistant
  • Palo Alto, CA
National Provider Identifier
1841447893
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
19842 Issued in CA
Practice address
725 Welch Rd
Room 3554
Palo Alto, CA 94304-1601
Phone
(650) 814-4143
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 21990 CA
Registered Respiratory Therapist 227900000X 0117005308 VA
Physician Assistant 363A00000X 2594 MA
Physician Assistant 363A00000X 19842 CA Primary

Addresses

Primary practice location

725 Welch Rd
Room 3554
Palo Alto, CA 94304-1601

Mailing address

PO Box 3451
Waquoit, MA 02536-3451
Phone (650) 814-4143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023001963 SC Practitioner - Physician Assistant 6406109313 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19842CAMDClinical Social Worker
21990CAMDRegistered Respiratory Therapist
0117005308VAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. CurrentSince Dec 31, 2021 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 31, 2021 Accepting new patients
Fetter Health Care Network Inc CurrentSince Dec 31, 2021 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 31, 2021 Accepting new patients
Fetter Health Care Network, Inc. Past Accepting new patients

Locations

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1841447893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3451",
            "city": "WAQUOIT",
            "state": "MA",
            "postal_code": "025363451",
            "telephone_number": "650-814-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "address_2": "ROOM 3554",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-814-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "21990",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "VA",
            "license": "0117005308",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2594",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.