General K Hilliard, M.D. a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

00C32269 Issued in CA

Legal business name

GENERAL K HILLIARD, M.D. A MEDICAL CORPORATION

Practice address

13847 E 14TH St Ste 203
San Leandro, CA 94578-2626

Phone

(510) 352-5325

Fax

(510) 351-7446

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Viscovich-Busby

Title

Biller

Phone

(925) 961-8920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1083057798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 203",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782626",
            "telephone_number": "510-352-5325",
            "fax_number": "510-351-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 203",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782626",
            "telephone_number": "510-352-5325",
            "fax_number": "510-351-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL K HILLIARD, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "VISCOVICH-BUSBY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "925-961-8920"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00C32269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.