Healthcare Provider Details

I. General information

NPI: 1659229029
Provider Name (Legal Business Name): HEIDI CELESTINO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 SAN JOSE ST
SALINAS CA
93901-3901
US

IV. Provider business mailing address

100 WILSON RD STE 100
MONTEREY CA
93940-7885
US

V. Phone/Fax

Practice location:
  • Phone: 831-758-2100
  • Fax: 831-758-1565
Mailing address:
  • Phone: 831-649-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA68174
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: