Individual provider Active NPI

Jeremy Adam Hill, PA

  • Surgical Physician Assistant
  • Merced, CA
National Provider Identifier
1649326349
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA17082 Issued in CA
Practice address
374 West Olive Avenue
Suite a
Merced, CA 95348-3137
Phone
(209) 384-5766
Fax
(209) 383-4230
NPI assigned
Jan 26, 2007
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17082 CA
Surgical Physician Assistant 363AS0400X PA17082 CA Primary

Addresses

Primary practice location

374 West Olive Avenue
Suite a
Merced, CA 95348-3137

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 384-5766

Other identifiers 1

IdentifierTypeStateIssuer
PA17082MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000781 CA Practitioner - Physician Assistant 6800995895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

1125 E 17TH St
Suite W248
Santa Ana, CA 92701-2205
Phone (714) 547-5151

30201 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5926
Phone (949) 363-1788

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17082CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince Sep 1, 2019 Accepting new patients
J Robert West, M.D., Inc CurrentSince Feb 1, 2024 Accepting new patients

Locations

30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788

1125 E 17th St
Ste W248
Santa Ana, CA 92701
Phone (714) 547-5151

355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

Interoperability endpoints

  • Direct secure messaging: jeremy.hill@dermgroup.emadirect.md

Organizations & group practices 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1649326349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-384-5766",
            "fax_number": "209-383-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 WEST OLIVE AVENUE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483137",
            "telephone_number": "209-384-5766",
            "fax_number": "209-383-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JEREMY",
        "middle_name": "ADAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17082",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA17082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA17082",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.