Organization Active NPI

Hilton MD Inc.

  • Hospitalist Physician
  • Huntington Beach, CA
National Provider Identifier
1043425515
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
W18267 Issued in CA
Legal business name
HILTON MD INC.
Practice address
17822 Beach Blvd Ste 430
Huntington Beach, CA 92647-7508
Phone
(714) 843-6800
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pam Calderon
Title
Billing Manager
Phone
(310) 356-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X W18267 CA Primary

Addresses

Primary practice location

17822 Beach Blvd Ste 430
Huntington Beach, CA 92647-7508

Mailing address

17822 Beach Blvd Ste 430
Huntington Beach, CA 92647-7508
Phone (714) 843-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229000708 CA Part B Supplier - Clinic/Group Practice 3072571686 Receives reassigned benefits from 3 practitioners
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1043425515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 430",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477508",
            "telephone_number": "714-843-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 430",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477508",
            "telephone_number": "714-843-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-356-8303"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "W18267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.