Active NPI
Ronald Hillary, ACSW
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1578079174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW76075
- Practice address
- 1845 N Fair Oaks Ave
Pasadena, CA 91103-1620 - Phone
- (626) 744-6043
- Fax
- (626) 744-6096
- NPI assigned
- Dec 18, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW76075 | CA | Primary |
Addresses
Primary practice location
1845 N Fair Oaks Ave
Pasadena, CA 91103-1620
Mailing address
1845 N Fair Oaks Ave
Pasadena, CA 91103-1620
Phone (626) 744-6043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013002047 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW76075 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- ronhillary-cityofpasadena@lacsapc.netsmartdirect.net
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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1578079174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031620",
"telephone_number": "626-744-6043",
"fax_number": "626-744-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031620",
"telephone_number": "626-744-6043",
"fax_number": "626-744-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLARY",
"first_name": "RONALD",
"name_prefix": "Mr.",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW76075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013002047",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.