Active NPI
Hilltop Pediatrics Medical Group
- Pediatrics Physician
- Richmond, CA
National Provider Identifier
1063559698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- FNP 14657
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryNPI 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.