Active NPI
Heather Marie Guilbault, PA-C
- Physician Assistant
- San Francisco, CA
National Provider Identifier
1982148946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA53158
- Practice address
- 50 Francisco St
440
San Francisco, CA 94133-2107 - Phone
- (800) 985-6405
- NPI assigned
- Dec 10, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA53158 | CA | Primary |
Addresses
Primary practice location
50 Francisco St
440
San Francisco, CA 94133-2107
Mailing address
639 Geary St Apt 1010
San Francisco, CA 94102-1676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53158 | CA | MD | Dentist |
| PA53158 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481328000000",
"number": "1982148946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 GEARY ST APT 1010",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941021676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FRANCISCO ST",
"address_2": "440",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941332107",
"telephone_number": "800-985-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILBAULT",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-10",
"last_updated": "2016-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA53158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.