Gregg E Hill, PAC
Individual provider Active NPI Medical Physician Assistant · Foothill Ranch, CA
NPI 1124359195 · NPPES record last updated Jan 14, 2010
Key facts
- NPI
- 1124359195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA19966 (CA)
- Practice address
- 26700 Towne Centre Dr Ste 100
Foothill Ranch, CA 92610-2843 - Phone
- (949) 460-9111
- Fax
- (949) 460-9055
- NPI assigned
- Jan 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19966 | CA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA19966 | CA | Yes |
Addresses
Primary practice location
26700 Towne Centre Dr Ste 100
Foothill Ranch, CA 92610-2843
Mailing address
26700 Towne Centre Dr Ste 100
Foothill Ranch, CA 92610-2843
Phone (949) 460-9111
Other providers in Foothill Ranch, CA
- Michale Wayne Hamlin
- Suzan Hashemi
- Amina Hassan-Elsayed
- Roy Masato Hayashi
- Samuel Michael Herringshaw
- Jacob Holman
- Hootan Daneshmand M D Incorporated
- Hospice Care of the West, LLC
- Shelton Hsu
- Michael Huang
All providers in Foothill Ranch, CA · Medical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.