Individual provider Active NPI

Heather Marie Elliott Demars, PA-C

  • Physician Assistant
  • Discovery Bay, CA
National Provider Identifier
1891017125
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-261 Issued in ME
Practice address
3495 Keystone Loop
Discovery Bay, CA 94505-2320
Phone
(603) 959-8758
NPI assigned
Mar 1, 2010
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-261 ME Primary

Addresses

Primary practice location

3495 Keystone Loop
Discovery Bay, CA 94505-2320

Mailing address

260 Bicentennial Way Apt 811
Santa Rosa, CA 95403-7423
Phone (603) 959-8758

Other names 1

  • Heather Marie Demars Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000034 CA Practitioner - Physician Assistant 8729113584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pleasanton Emergency Medical GroupGroup PAC ID 0143118927, 38 clinicians

Practice addresses (Care Compare)

1111 E Stanley Blvd
Livermore, CA 94550-4115
Phone (925) 373-4018

1133 E Stanley Blvd
Livermore, CA 94550-4200
Phone (925) 373-4500

4000 Dublin Blvd
Suite 150
Dublin, CA 94568-3180
Phone (925) 479-3773

5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Phone (925) 416-3418

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Apr 1, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2016 Accepting new patients

Locations

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

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": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1891017125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BICENTENNIAL WAY APT 811",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037423",
            "telephone_number": "603-959-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 KEYSTONE LOOP",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945052320",
            "telephone_number": "603-959-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT DEMARS",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA-261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DEMARS",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Discovery Bay, CA

Sources for this page

Verify at the official NPI Registry.