Individual provider Active NPI

Jesse Richard Hill, MD

  • Anesthesiology Physician
  • Stanford, CA
National Provider Identifier
1174785075
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
IN PROCESS Issued in CA
Practice address
300 Pasteur Drive
Department of Anesthesia H3580
Stanford, CA 94305-5640
Phone
(650) 723-7377
Fax
(650) 725-8544
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X IN PROCESS CA Primary

Addresses

Primary practice location

300 Pasteur Drive
Department of Anesthesia H3580
Stanford, CA 94305-5640

Mailing address

917 Avenida Majorca
Unit C
Laguna Woods, CA 92637
Phone (949) 951-7646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000416 CA Practitioner - Anesthesiology 9133390560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Southern California Keck School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Anesthesia Consultants Medical Group IncGroup PAC ID 1759284771, 86 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
IN PROCESSCAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Valley Medical Group Anesthesiology CurrentSince Jul 30, 2011 Accepting new patients
Newport Harbor Anesthesia Consultants Medical Group Inc Anesthesiology CurrentSince May 1, 2021 Accepting new patients

Locations

27882 Forbes Rd
Ste 203
Laguna Niguel, CA 92677
Phone (949) 347-2400

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1174785075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 AVENIDA MAJORCA",
            "address_2": "UNIT C",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "92637",
            "telephone_number": "949-951-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE",
            "address_2": "DEPARTMENT OF ANESTHESIA H3580",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055640",
            "telephone_number": "650-723-7377",
            "fax_number": "650-725-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JESSE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "IN PROCESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.