Hillcrest Internal Medicine

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G51223 Issued in CA

Legal business name

HILLCREST INTERNAL MEDICINE

Practice address

4060 4TH Ave
505
San Diego, CA 92103-2116

Phone

(619) 298-1318

NPI assigned

Feb 12, 2007

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Scott Peterson

Title

Cfo

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Medvantx Inc

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEAABA

Practitioners 1

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.

• Howard V Williams, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1548210081
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1417099037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "505",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-298-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G51223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillcrest Ear Nose & Throat Inc
• Hillcrest Endodontics
• Hillcrest Gynecology & Obstetrics
• Hillcrest Hearing Center
• Hillcrest Hearing Center Inc
• Hillcrest Internal Medicine a Medical Corporation
• Hillcrest Optical Inc.
• Hillcrest Psychological Associates, PC (Hillcrest Psychological Associates)
• Hillcrest Psychological Associates, PC
• Hillcrest Psychological Services, Inc.

• Non-Pharmacy Dispensing Site in San Diego, CA
• Providers in San Diego, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.