Individual provider Active NPI

Kenneth John Hill, M.D.

  • Anesthesiology Physician
  • Valley Village, CA
National Provider Identifier
1629020953
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G73908 Issued in CA
Practice address
12660 Riverside Dr
Ste 300
Valley Village, CA 91607-3429
Phone
(818) 623-5310
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G73908 CA Primary
Family Medicine Physician 207Q00000X G73908 CA

Addresses

Primary practice location

12660 Riverside Dr
Ste 300
Valley Village, CA 91607-3429

Mailing address

PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005000528 VA Practitioner - Anesthesiology 5193744910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G73908CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Jan 12, 2020 Accepting new patients
Billings Clinic Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Oak Creek Anesthesia Services, Inc. Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Billings Clinic Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Billings Clinic Current Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Jan 12, 2020 Accepting new patients
Socal Anesthesia Solutions, Inc Anesthesiology Past Accepting new patients
California Anesthesia Providers a Medical Corporation Anesthesiology Past Accepting new patients
Redwood Anesthesia Services, a Medical Corporation Anesthesiology Past Accepting new patients
Century Anesthesia Assoc. Anesthesiology PastSince Aug 1, 2005 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1234 E North St
Ste 103
Manteca, CA 95336
Phone (209) 647-3101

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

2800 10th Ave N
Ste D
Billings, MT 59101
Phone (406) 657-4100

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Interoperability endpoints

  • Direct secure messaging: khill762301@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1629020953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "505-293-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR",
            "address_2": "STE 300",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073429",
            "telephone_number": "818-623-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G73908",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G73908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.