Active NPI
Hly Medical Group, P.a.
- Obstetrics & Gynecology Physician
- San Mateo, CA
National Provider Identifier
1275399602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- HLY MEDICAL GROUP, P.A.
- Practice address
- 2215 S El Camino Real Ste 206
San Mateo, CA 94403-1898 - Phone
- (415) 413-8833
- NPI assigned
- Feb 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Niles, M.D.
- Title
- President
- Phone
- (415) 413-8833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2215 S El Camino Real Ste 206
San Mateo, CA 94403-1898
Mailing address
2215 S El Camino Real Ste 206
San Mateo, CA 94403-1898
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1275399602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 S EL CAMINO REAL STE 206",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 S EL CAMINO REAL STE 206",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031898",
"telephone_number": "415-413-8833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HLY MEDICAL GROUP, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-23",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A",
"authorized_official_last_name": "NILES",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-413-8833",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.