Individual provider Active NPI

Ebony Hillery

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1730822875
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028612 Issued in CA
Practice address
41880 Kalmia St Ste 100
Murrieta, CA 92562-8835
Phone
(951) 696-7587
NPI assigned
Apr 17, 2022
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95028612 CA
Family Nurse Practitioner 363LF0000X 95028612 CA Primary

Addresses

Primary practice location

41880 Kalmia St Ste 100
Murrieta, CA 92562-8835

Mailing address

4612 Eagle Ave
Perris, CA 92571-5160
Phone (951) 990-3542

Other practice location 1

225 W Hospitality Ln Ste 212
San Bernardino, CA 92408-3221
Phone (951) 293-4166

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
I20240607002285 CA Practitioner - Nurse Practitioner 9032651823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agm Medical Group, P.C.Group PAC ID 5890208185, 2 clinicians

Practice addresses (Care Compare)

21835 Ventura Blvd
Suite 21837
Woodland Hills, CA 91364-1838
Phone (818) 600-7348

27349 Jefferson Ave
Suite 100
Temecula, CA 92590-5611
Phone (866) 211-9447

31845 Temecula Pkwy
Suite 102
Temecula, CA 92592-2871
Phone (951) 210-7368

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

40461 Murrieta Hot Springs Rd
Suite J1
Murrieta, CA 92563-6402
Phone (951) 458-5710

4550 Van Nuys Blvd
Suite A4
Sherman Oaks, CA 91403-2844
Phone (818) 514-3631

6971 El Camino Real
Suite 101
Carlsbad, CA 92009-4114
Phone (760) 258-4971

806 New Los Angeles Ave
Moorpark, CA 93021-3608
Phone (805) 334-8650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agm Medical Group, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Harmony Wellness and Health Nurse Practitioner CurrentSince Nov 9, 2025 Accepting new patients
Southern California Urgent Care Network Nurse Practitioner CurrentSince May 8, 2024 Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients
Carbon Health Primary Care of California PC PastSince Apr 5, 2021 Accepting new patients

Locations

31571 Canyon Estates Dr
Ste 100
Lake Elsinore, CA 92532
Phone (951) 397-4214

41880 Kalmia St
Ste 100
Murrieta, CA 92562
Phone (951) 397-4226

2559 W Rosamond Blvd
Ste D
Rosamond, CA 93560
Phone (661) 256-6365

27349 Jefferson Ave
Ste 213
Temecula, CA 92590
Phone (619) 247-7653

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, 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": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1730822875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 EAGLE AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925715160",
            "telephone_number": "951-990-3542",
            "fax_number": "951-269-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "951-696-7587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 W Hospitality Ln Ste 212",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083221",
            "country_code": "US",
            "telephone_number": "951-293-4166",
            "fax_number": "951-269-4176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLERY",
        "first_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028612",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.