Provider Demographics
NPI:1588721518
Name:NEVES, HEATHER L (PA C)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:NEVES
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:L
Other - Last Name:PAGADUAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA C
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:444 PLUMAS BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5071
Practice Address - Country:US
Practice Address - Phone:530-749-3420
Practice Address - Fax:530-749-3469
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA14995363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00785473OtherRAILROAD MEDICARE
CAP00785473OtherRAILROAD MEDICARE
CABT638YMedicare PIN
CAMN1534646OtherDEA