Individual provider Active NPI

Heather Linnea Lesieur, PA-C, MS, MPH

  • Physician Assistant
  • Clayton, CA
National Provider Identifier
1891726972
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23118 Issued in CA
Practice address
5439 Clayton Rd Ste B
Clayton, CA 94517-1076
Phone
(925) 672-6744
Fax
(925) 672-3259
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA23118 CA Primary
Physician Assistant 363A00000X 376879-1206 UT

Addresses

Primary practice location

5439 Clayton Rd Ste B
Clayton, CA 94517-1076

Mailing address

5439 Clayton Rd Ste B
Clayton, CA 94517-1076
Phone (925) 672-6744

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
I20131115001572 CA Practitioner - Physician Assistant 9739255167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA23118CAMDPhysician Assistant
376879-1206UTMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: hlesieur48084@ehr.johnmuirhealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1891726972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 CLAYTON RD STE B",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171076",
            "telephone_number": "925-672-6744",
            "fax_number": "925-672-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 CLAYTON RD STE B",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171076",
            "telephone_number": "925-672-6744",
            "fax_number": "925-672-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESIEUR",
        "first_name": "HEATHER",
        "middle_name": "LINNEA",
        "name_prefix": "Ms.",
        "credential": "PA-C, MS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23118",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "376879-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, CA

Sources for this page

Verify at the official NPI Registry.