Hillcrest Urological Medical GRP.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A44719 Issued in CA

Legal business name

HILLCREST UROLOGICAL MEDICAL GRP.

Practice address

4060 4TH Ave
Suite 310
San Diego, CA 92103-2116

Phone

(619) 297-4707

Fax

(619) 297-2448

NPI assigned

Aug 16, 2006

Last updated

Apr 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Vanderwerf

Title

Contracts Specialist

Phone

(858) 888-7700

Specialties & licenses 1

Addresses

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.

• Mark-Rally L Pe, M.D.

  • Urology Physician
  • San Diego, CA
  • NPI 1801003694
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1568575447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33865",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633865",
            "telephone_number": "858-888-7700",
            "fax_number": "858-888-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "SUITE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-297-4707",
            "fax_number": "619-297-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST UROLOGICAL MEDICAL GRP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "VANDERWERF",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CONTRACTS SPECIALIST",
        "authorized_official_telephone_number": "858-888-7700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A44719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillcrest Optical Inc.
• Hillcrest Psychological Associates, PC (Hillcrest Psychological Associates)
• Hillcrest Psychological Associates, PC
• Hillcrest Psychological Services, Inc.
• Hillcrest Surgical Medical Group, Inc. (Pacific Bariatric Surgical Medical Group, Inc.)
• Teresa Hilleary, R.D.
• David B Hiller, M.D.
• Lucas P Hiller, M.D
• Rosanne Hiller
• Yolanda Renita Hiller, IMF

• Urology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.