DR. HEIDI DAMBACH MD NPI 1023290582

Radiology (Diagnostic Radiology) in Menlo Park, CA

NPI 1023290582 Individual Female Years of Experience 16 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment

About HEIDI DAMBACH

Heidi Dambach is a provider established in Menlo Park, California and her medical specialization is radiology (diagnostic radiology) with more than 16 years of experience. She graduated from New York Medical College in 2005. The NPI number of Heidi Dambach is 1023290582 and was assigned on November 2007. The practitioner's primary taxonomy code is 2085R0202X with license number A110625 (CA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

Heidi Dambach is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Heidi Dambach is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1023290582

Provider NameDR. HEIDI DAMBACH MD
Provider Location Address795 WILLOW RD BUILDING 334; ROOM C200-P MENLO PARK, CA 94025
Provider Mailing Address795 WILLOW RD BUILDING 334; ROOM C200-P MENLO PARK, CA 94025
GenderFemale
NPI Entity TypeIndividual
Medical School NameNEW YORK MEDICAL COLLEGE
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-27-2007
Last Update Date05-20-2013


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.A110625
License StateCA
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. HEIDI DAMBACH MD
795 WILLOW RD
BUILDING 334; ROOM C200-P
MENLO PARK, CA
ZIP 94025
Phone: (612) 629-7124

Get Directions


Mailing Address

DR. HEIDI DAMBACH MD
795 WILLOW RD
BUILDING 334; ROOM C200-P
MENLO PARK, CA
ZIP 94025
Phone:



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyMD-16061HINo

Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
FE394ZMEDICARE PIN (08)HI
0A1106250MEDICAID (05)CA
686470MEDICAID (05)HI
DH454ZMEDICARE PIN (08)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205899168MS. VIVIAN CHAN MS, NP
Individual
Nurse Practitioner (Gerontology)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1346290004 ANNETTE KATANO R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)795 WILLOW RD MP-170A
MENLO PARK, CA 94025
(650) 493-5000
1710930417MS. KATHRINE SUZANNE SEVERIN LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1932153764 GLORIA JULIANA KINDT MARAMBA PH.D.
Individual
Psychologist (Clinical)795 WILLOW RD ATTN: VAPAHCS MENTAL HEALTH CLINIC
MENLO PARK, CA 94025
(650) 493-5000
1619923489DR. JUDITH STEVENS M.D.
Individual
Psychiatry & Neurology (Psychiatry)795 WILLOW RD 170A-MPD
MENLO PARK, CA 94025
(650) 493-5000
1093752784DR. BRUCE STEVEN LINENBERG PH.D.
Individual
Psychologist (Clinical)795 WILLOW RD BUILDING 321
MENLO PARK, CA 94025
(650) 493-5000
1730127630MRS. JUDITH ANN FARIS NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)795 WILLOW RD BLDG 352-121
MENLO PARK, CA 94025
(650) 493-5000
1407895287DR. TINA T LEE M.D.
Individual
Psychiatry & Neurology (Psychiatry)795 WILLOW RD MC:334-PTSD
MENLO PARK, CA 94025
(650) 493-5000
1619917978MS. SUSAN IRENE DUNN BSN,M.N, ANP-C
Individual
Nurse Practitioner (Adult Health)795 WILLOW RD BUILDING 324 E112A
MENLO PARK, CA 94025
(650) 493-5000
1588607261DR. SUSAN GAIL ANDERSON PH.D.
Individual
Psychologist795 WILLOW RD HVRP PAVAMC MC 180D
MENLO PARK, CA 94025
(650) 493-5000
1770527830DR. KEITH HARRIS PHD
Individual
Psychologist (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1235165952DR. LAWRENCE MALCUS PH.D.
Individual
Psychologist (Clinical)795 WILLOW RD VA PALO ALTO HEALTH CARE SYSTEM (180D)
MENLO PARK, CA 94025
(650) 493-5000
1275562936MS. SUSAN ELAINE GUILD LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(659) 493-5000
1154347334MS. SHERRY JEANINE RINEY MSW, LCSW
Individual
Social Worker (Clinical)795 WILLOW RD NCPTSD (352/MP), VA PALO ALTO HCS
MENLO PARK, CA 94025
(650) 493-5000
1376569905 MAYA LEBA KOPELL M.D.
Individual
Psychiatry & Neurology (Psychiatry)795 WILLOW RD BLDG 321 MHC 170A
MENLO PARK, CA 94025
(650) 493-5000
1457379620MS. BETH LILIAN GOLDFADEN LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1174542997MR. JOHN MICHAEL SIRLEY LCSW
Individual
Social Worker (Clinical)795 WILLOW RD
MENLO PARK, CA 94025
(650) 493-5000
1801816467 SOPHIA JI HYE KIM M.D.
Individual
Internal Medicine (Geriatric Medicine)795 WILLOW RD 118MPD
MENLO PARK, CA 94025
(650) 493-5000
1518987593MS. LISA ELEANOR SHARP RN
Individual
Nurse Practitioner (Adult Health)795 WILLOW RD BLDG 324, GEROPSYCHIATRIC NURSING HOME
MENLO PARK, CA 94025
(650) 493-5000
1093735235MS. CELIA K. MAHER LCSW
Individual
Social Worker (Clinical)795 WILLOW RD MPD 122
MENLO PARK, CA 94025
(650) 493-5000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.