Hly Medical Group Ca, P.a

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HLY MEDICAL GROUP CA, P.A

Practice address

2215 S El Camino Real Ste 206
San Mateo, CA 94403-1898

Phone

(415) 413-8833

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Vanessa Niles, MD

Title

President

Phone

(415) 413-8833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1558121905",
    "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 CA, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rommel Hindocha, D.C.
• Ernesto Balubar Hipolito, MD
• Krista Ann Hirasuna, DDS, MS
• Dona Karin Hirschfield-White
• Elizabeth Hisashima, FNP
• Hly Medical Group NJ, P.a.
• Hly Medical Group, P.a.
• Dominic K. Ho, M.D.
• Julia Ho
• Lisa Thuy Ho

• Obstetrics & Gynecology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.