Individual provider Active NPI

Linda Hiles

  • Specialist
  • Long Beach, CA
National Provider Identifier
1043609464
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AT3166 Issued in CA
Practice address
262 Ximeno Ave
Long Beach, CA 90803-1658
Phone
(562) 818-7547
Fax
(562) 439-4399
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AT3166 CA Primary

Addresses

Primary practice location

262 Ximeno Ave
Long Beach, CA 90803-1658

Mailing address

262 Ximeno Ave
Long Beach, CA 90803-1658
Phone (562) 818-7547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT3166CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1043609464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 XIMENO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031658",
            "telephone_number": "562-818-7547",
            "fax_number": "562-439-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 XIMENO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031658",
            "telephone_number": "562-818-7547",
            "fax_number": "562-439-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILES",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "AT3166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.