Edward Amir Hillman
Individual provider Active NPI Peer Specialist · Mojave, CA
NPI 1245898261 · NPPES record last updated Jun 4, 2019
Key facts
- NPI
- 1245898261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 16940 Highway 14
Mojave, CA 93501-1238 - Phone
- (661) 824-5020
- NPI assigned
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarvida | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
16940 Highway 14
Mojave, CA 93501-1238
Mailing address
8318 Dogbane Ave Apt F
California City, CA 93505-1941
Phone (323) 301-8351
Other names
- Eddie Amir Hillman
Other providers in Mojave, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2019. 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.