Active NPI
Donna L Hines, MD
- Pediatrics Physician
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 30670
- Practice address
- 1285 S State St
Hemet, CA 92543-7976 - Phone
- (951) 765-1777
- Fax
- (866) 390-9161
- NPI assigned
- Sep 1, 2005
- Last updated
- Dec 29, 2016
- 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 | 30670 | TN | Primary |
Addresses
Primary practice location
1285 S State St
Hemet, CA 92543-7976
Mailing address
27699 Jefferson Ave
Suite 300
Temecula, CA 92590-2661
Phone (951) 252-8588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C130260 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Health Network, PC | Current | Accepting new patients | |
| Memphis and Shelby County Health Dept. | Pediatrics | Past | Accepting new patients |
| Shelby County Government | Past | Accepting new patients | |
| Pediatric Partners Medical Professional Corporation | Pediatrics | Past | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
438 N Cleveland St
Memphis, TN 38104
Phone (866) 364-8944
2700 Gallatin Pike
Ste A
Nashville, TN 37216
Phone (866) 364-8944
330 Wallace Rd
Ste 109
Nashville, TN 37211
Phone (615) 832-5612
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Franklin, TN
- NPI 1942839147
-
- Pediatrics Physician
- Hemet, CA
- NPI 1306934492
-
- Family Medicine Physician
- Memphis, TN
- NPI 1073514055
Pediatrics
-
dba Shelby County Fire Department
- Land Ambulance
- Memphis, TN
- NPI 1083158570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1780678037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27699 JEFFERSON AVE",
"address_2": "SUITE 300",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902661",
"telephone_number": "951-252-8588",
"fax_number": "951-252-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 S STATE ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925437976",
"telephone_number": "951-765-1777",
"fax_number": "866-390-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "DONNA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "30670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C130260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.