Active NPI
Lisa Ann Hills, MD
- Pediatrics Physician
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A121805
- Practice address
- 4053 Lone Tree Way Ste 101
Antioch, CA 94531-6210 - Phone
- (925) 756-3400
- Fax
- (510) 506-7728
- NPI assigned
- Aug 31, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A121805 | CA | Primary |
Addresses
Primary practice location
4053 Lone Tree Way Ste 101
Antioch, CA 94531-6210
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (925) 756-3400
Other practice location 1
5153 N 9th Ave
6th Floor Nemours
Pensacola, FL 32504-8785
Phone (850) 416-7658
Other practice location 2
350 John Muir Pkwy Ste 105
Brentwood, CA 94513-5183
Phone (925) 513-2483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A121805 | Other | CA | STATE MEDICAL LICENSE |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121805 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Sutter Delta Medical Center | Past | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Florida State University | Past | Accepting new patients |
Locations
4053 Lone Tree Way
Ste 201
Antioch, CA 94531
Phone (925) 756-3400
4053 Lone Tree Way
Ste 101
Antioch, CA 94531
Phone (925) 756-3400
350 John Muir Pkwy
Ste 105
Brentwood, CA 94513
Phone (925) 513-2483
350 John Muir Pkwy
Ste 140
Brentwood, CA 94513
Phone (925) 513-2483
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- lhills262317@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1124135132
-
- Children's Hospital
- Pensacola, FL
- NPI 1821244989
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1679889448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "925-756-3400",
"fax_number": "510-506-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4053 LONE TREE WAY STE 101",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945316210",
"telephone_number": "925-756-3400",
"fax_number": "510-506-7728"
}
],
"practiceLocations": [
{
"address_1": "5153 N 9th Ave",
"address_2": "6th Floor Nemours",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048785",
"country_code": "US",
"telephone_number": "850-416-7658",
"fax_number": "850-416-7677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 John Muir Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "CA",
"postal_code": "945135183",
"country_code": "US",
"telephone_number": "925-513-2483",
"fax_number": "925-513-4957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILLS",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A121805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A121805",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.