Organization Active NPI

Hilltop Pediatrics Medical Group

  • Pediatrics Physician
  • Richmond, CA
National Provider Identifier
1063559698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
FNP 14657 Issued in CA
Legal business name
HILLTOP PEDIATRICS MEDICAL GROUP
Practice address
2970 Hilltop Mall Rd
Suite 305
Richmond, CA 94806-1947
Phone
(510) 222-5437
Fax
(510) 222-5487
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Margery Lackman, M.D.
Title
Chief Operating Officer
Phone
(510) 222-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X FNP 14657 CA Primary

Addresses

Primary practice location

2970 Hilltop Mall Rd
Suite 305
Richmond, CA 94806-1947

Mailing address

2970 Hilltop Mall Rd
Suite 305
Richmond, CA 94806-1947
Phone (510) 222-5437

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063559698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "SUITE 305",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061947",
            "telephone_number": "510-222-5437",
            "fax_number": "510-222-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "SUITE 305",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061947",
            "telephone_number": "510-222-5437",
            "fax_number": "510-222-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP PEDIATRICS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACKMAN",
        "authorized_official_first_name": "MARGERY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "510-222-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "FNP 14657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.