Active NPI
Hill Physicians Medical Group - PPO Program
- Preferred Provider Organization
- San Ramon, CA
National Provider Identifier
1679011035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Legal business name
- HILL PHYSICIANS MEDICAL GROUP - PPO PROGRAM
- Practice address
- 2409 Camino Ramon
San Ramon, CA 94583-4285 - Phone
- (925) 820-8300
- NPI assigned
- Feb 6, 2017
- Last updated
- Oct 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Richards
- Title
- Chief Financial Officer
- Phone
- (925) 327-6735
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | NU | Primary |
Addresses
Primary practice location
2409 Camino Ramon
San Ramon, CA 94583-4285
Mailing address
2409 Camino Ramon
San Ramon, CA 94583-4285
Phone (925) 820-8300
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 511
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1679011035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 CAMINO RAMON",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834285",
"telephone_number": "925-820-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 CAMINO RAMON",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834285",
"telephone_number": "925-820-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL PHYSICIANS MEDICAL GROUP - PPO PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "925-327-6735",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.