Individual provider Active NPI

Stephen Hillyer

  • Non-emergency Medical Transport (VAN)
  • Atwater, CA
National Provider Identifier
1134765977
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
257 E Bellevue Rd Ste 255
Atwater, CA 95301-2304
Phone
(209) 355-6995
Fax
(209) 812-1775
NPI assigned
Nov 26, 2019
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

257 E Bellevue Rd Ste 255
Atwater, CA 95301-2304

Mailing address

257 E Bellevue Rd Ste 255
Atwater, CA 95301-2304
Phone (209) 355-6995

Other identifiers 1

IdentifierTypeStateIssuer
37-1944628MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1134765977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 E BELLEVUE RD STE 255",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012304",
            "telephone_number": "209-355-6995",
            "fax_number": "209-812-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E BELLEVUE RD STE 255",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953012304",
            "telephone_number": "209-355-6995",
            "fax_number": "209-812-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLYER",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37-1944628",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.