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NPI · 1003048620 · NPPES-sourced

Mrs. Tina Heck PA-C

ActivePhysician Assistant
NPI Number
1003048620
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(805) 269-1500
License CA · PA20461
Last Updated
Enumerated
Primary practice addressCA · 93405-5806
77 Casa St Ste 201San Luis Obispo, CA 93405-5806
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Also known as

  • Formerly known asPravongviengkham, Tina Lisa

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1003048620 is registered to Mrs. Tina Heck PA-C, a Physician Assistant practising at 77 Casa St Ste 201 in San Luis Obispo, California. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Tina Heck PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2009.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mrs. Tina Heck PA-C accepts. To confirm in-network status with your specific health plan, contact Mrs. Tina Heck PA-C directly at (805) 269-1500.

Frequently asked

Yes. NPI 1003048620 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (805) 269-1500.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mrs. Tina Heck PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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