Active NPI
Mariel P Heller-Benson, PA-C
- Surgical Physician Assistant
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA51432
- Practice address
- 2405 Shadelands Dr
Walnut Creek, CA 94598-2444 - Phone
- (925) 939-8585
- Fax
- (925) 933-2709
- NPI assigned
- Jul 17, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5908 | GA | |
| Medical Physician Assistant | 363AM0700X | PA51432 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA51432 | CA | Primary |
Addresses
Primary practice location
2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Mailing address
PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585
Other names 1
- Mariel P Heller
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
Enrollment records 1
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
Practice addresses (Care Compare)
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000
3838 California St
San Francisco, CA 94118-1506
601 Duboce Ave
San Francisco, CA 94117-3389
Hospital & facility affiliations
- California Pacific Medical Ctr-Davies Campus Hosp
- Novato Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5908 | GA | MD | Physician Assistant |
| PA51432 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Golden State Orthopedics & Spine | Past | Accepting new patients |
Locations
350 John Muir Pkwy
Ste 155
Brentwood, CA 94513
165 Rowland Way
Ste 201
Novato, CA 94945
Phone (415) 600-1817
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940
2351 Clay St
Ste 501
San Francisco, CA 94115
Phone (415) 600-3898
4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244
5201 Norris Canyon Rd
Ste 230
San Ramon, CA 94583
Phone (925) 244-9355
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
Interoperability endpoints
- mhellerbenson280910@hisp.ehr.sutterhealth.org
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Orthopaedic Surgery Physician
- Concord, CA
- NPI 1427402783
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1891083408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31396",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945988396",
"telephone_number": "925-939-8585",
"fax_number": "925-933-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982444",
"telephone_number": "925-939-8585",
"fax_number": "925-933-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER-BENSON",
"first_name": "MARIEL",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-17",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "5908",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA51432",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA51432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIEL",
"last_name": "HELLER",
"middle_name": "P",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.