Active NPI
Heidi Sarah Millard, MD
- Family Medicine Physician
- Santa Maria, CA
National Provider Identifier
1871889667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A118238
- Practice address
- 1400 E Church St BLDG 8
Santa Maria, CA 93454-5906 - Phone
- (805) 739-3561
- Fax
- (805) 739-3560
- NPI assigned
- Jun 21, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A118238 | CA | Primary |
Addresses
Primary practice location
1400 E Church St BLDG 8
Santa Maria, CA 93454-5906
Mailing address
1400 E. Church Street
Medical Staff Office
Santa Maria, CA 93454
Phone (805) 739-3954
Other practice location 1
9961 Sierra Ave
Kaiser Permanente, Family Medicine
Fontana, CA 92335-6720
Phone (909) 427-5000
Other practice location 2
9961 Sierra Ave
Kaiser Permanente, Family Medicine
Fontana, CA 92335-6720
Phone (909) 427-5000
Other names 1
- Heidi Sarah Shelton
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120831000458 | CA | Practitioner - Family Practice | 4183871874 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1871889667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E. CHURCH STREET",
"address_2": "MEDICAL STAFF OFFICE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-739-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E CHURCH ST BLDG 8",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545906",
"telephone_number": "805-739-3561",
"fax_number": "805-739-3560"
}
],
"practiceLocations": [
{
"address_1": "9961 Sierra Ave",
"address_2": "Kaiser Permanente, Family Medicine",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923356720",
"country_code": "US",
"telephone_number": "909-427-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9961 Sierra Ave",
"address_2": "Kaiser Permanente, Family Medicine",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923356720",
"country_code": "US",
"telephone_number": "909-427-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLARD",
"first_name": "HEIDI",
"middle_name": "SARAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A118238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "SHELTON",
"middle_name": "SARAH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.