NPIMap

Organization Active NPI

The Hill Medical Corporation

  • Diagnostic Radiology Physician
  • Pasadena, CA
National Provider Identifier
1154310415
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
THE HILL MEDICAL CORPORATION
Practice address
100 W California Blvd
Pasadena, CA 91105-3010
Phone
(626) 397-5139
Fax
(626) 397-3409
NPI assigned
Oct 19, 2005
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Christopher Graham Hedley, MEDICAL DOCTORNPI 1417946534
Title
President of the Hill Medical Corp
Phone
(626) 397-5139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X NU
Nuclear Radiology Physician 2085N0904X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

100 W California Blvd
Pasadena, CA 91105-3010

Mailing address

223 N 1St Ave
Suite #201
Arcadia, CA 91006-7089
Phone (626) 698-7246

Other identifiers 2

IdentifierTypeStateIssuer
GR0003430MedicaidCA
ZZZ37997ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, FL, GA, NJ, IN6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040917000570 CA Part B Supplier - Clinic/Group Practice 2062301518 Receives reassigned benefits from 29 practitioners
5 other NPIs on this enrollment
Practice locations: Arcadia, CA; West Covina, CA; Studio City, CA; Sherman Oaks, CA; Santa Monica, CA; San Rafael, CA; San Marino, CA; San Diego, CA…
O20210226001505 OR Part B Supplier - Clinic/Group Practice 2062301518 Practice locations: Corvallis, OR
O20210614002552 FL Part B Supplier - Clinic/Group Practice 2062301518 Receives reassigned benefits from 1 practitioner
Practice locations: Key Biscayne, FL
O20210910000579 GA Part B Supplier - Clinic/Group Practice 2062301518 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20221122003697 NJ Part B Supplier - Clinic/Group Practice 2062301518 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ
O20221128000489 IN Part B Supplier - Clinic/Group Practice 2062301518 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Indianapolis, IN

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1154310415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE",
            "address_2": "SUITE #201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067089",
            "telephone_number": "626-698-7246",
            "fax_number": "626-447-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-5139",
            "fax_number": "626-397-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HILL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "HEDLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "PRESIDENT OF THE HILL MEDICAL CORP",
        "authorized_official_telephone_number": "626-397-5139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0003430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ37997Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.