Active NPI
Erin Noel Heath, MD
- Pediatrics Physician
- Larkspur, CA
National Provider Identifier
1881673283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G65494
- Practice address
- 5 Bon Air Road
Ste. 105
Larkspur, CA 94939 - Phone
- (415) 461-0440
- Fax
- (415) 461-3792
- NPI assigned
- Jan 13, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G65494 | CA | Primary |
Addresses
Primary practice location
5 Bon Air Road
Ste. 105
Larkspur, CA 94939
Mailing address
5 Bon Air Road
Ste. 105
Larkspur, CA 94939
Phone (415) 461-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G654940 | Medicaid | CA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65494 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- eheath@tampeds.pcc-direct.com
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1881673283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BON AIR ROAD",
"address_2": "STE. 105",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "94939",
"telephone_number": "415-461-0440",
"fax_number": "415-461-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BON AIR ROAD",
"address_2": "STE. 105",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "94939",
"telephone_number": "415-461-0440",
"fax_number": "415-461-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "ERIN",
"middle_name": "NOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G65494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G654940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.