Hilary Black, RN

Primary specialty

Plastic Surgery Registered NurseTaxonomy code 163WS0121X

License

578078 Issued in CA

Practice address

4520 Executive Dr Ste 105
San Diego, CA 92121-3019

Phone

(858) 453-8484

Fax

(858) 453-3284

NPI assigned

May 19, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1821928318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213019",
            "telephone_number": "858-453-8484",
            "fax_number": "858-453-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213019",
            "telephone_number": "858-453-8484",
            "fax_number": "858-453-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "HILARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "CA",
            "license": "578078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Bjornson
• BL Anderson Medical Corporation
• Nicole Stacy Blacher, P.T.
• Charlene Black, LMFT
• Chloe Alessandra Black
• Jamie Z Black, PA-C
• Jennifer Black, MD, PHARMD
• Jordan Black, M.D.
• Kendra Marie Black, M.D.
• Kimberly Black

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.