Active NPI
Heather Ann Rocha, PA-C
- Physician Assistant
- Palo Alto, CA
National Provider Identifier
1841447893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 19842
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19842 | CA | MD | Clinical Social Worker |
| 21990 | CA | MD | Registered Respiratory Therapist |
| 0117005308 | VA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | Accepting new patients | |
| Fetter Health Care Network Inc | Current | Accepting new patients | |
| Fetter Health Care Network, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Summerville, SC
- NPI 1518454818
-
- Federally Qualified Health Center (FQHC)
- Moncks Corner, SC
- NPI 1659872059
-
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1982124301
-
- Federally Qualified Health Center (FQHC)
- Charleston, SC
- NPI 1003827304
-
- Federally Qualified Health Center (FQHC)
- Cross, SC
- NPI 1396859823
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.