Organization Active NPI

Hly Medical Group, P.a.

  • Obstetrics & Gynecology Physician
  • San Mateo, CA
National Provider Identifier
1275399602
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Feb 23, 2024

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.