Individual provider Active NPI

Cutler James Hillesheim, LVN

  • Licensed Vocational Nurse
  • Campbell, CA
National Provider Identifier
1447076278
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN746386 Issued in CA
Practice address
251 Llewellyn Ave BLDG F
Campbell, CA 95008-1940
Phone
(408) 364-4083
Fax
(408) 370-9286
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN746386 CA Primary

Addresses

Primary practice location

251 Llewellyn Ave BLDG F
Campbell, CA 95008-1940

Mailing address

251 Llewellyn Ave BLDG F
Campbell, CA 95008-1940
Phone (408) 364-4083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN746386CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics Licensed Vocational Nurse CurrentSince Dec 1, 2024 Accepting new patients

Locations

251 Llewellyn Ave
Bldg F
Campbell, CA 95008
Phone (408) 364-4083

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1447076278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE BLDG F",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940",
            "telephone_number": "408-364-4083",
            "fax_number": "408-370-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE BLDG F",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940",
            "telephone_number": "408-364-4083",
            "fax_number": "408-370-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLESHEIM",
        "first_name": "CUTLER",
        "middle_name": "JAMES",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN746386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.