Active NPI
Lucas P Hiller, M.D
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A91321
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (619) 543-2218
- Fax
- (619) 471-9473
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A91321 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of California, Davis School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (818) 639-2901
3539 Ticonderoga St
San Diego, CA 92117-6011
Phone (818) 435-1433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91321 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| UC San Diego Health Community Group | Current | Accepting new patients | |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients | |
| Quantum Medical Radiology of California, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10666 N Torrey Pines Rd
Fl 2
La Jolla, CA 92037
Phone (858) 554-8122
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050
2400 E 4th St
National City, CA 91950
Phone (619) 470-4141
330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500
6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Community Health Clinic/Center
- San Diego, CA
- NPI 1659864247
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
CA
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1417050956
-
- Diagnostic Radiology Physician
- Palm Springs, CA
- NPI 1558539130
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1417160474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "619-543-2218",
"fax_number": "619-471-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLER",
"first_name": "LUCAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A91321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.