Active NPI
Hillcrest Gynecology & Obstetrics
- Obstetrics & Gynecology Physician
- San Diego, CA
National Provider Identifier
1831210368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G33037
- Legal business name
- HILLCREST GYNECOLOGY & OBSTETRICS
- Practice address
- 4045 3Rd Ave
Suite 301
San Diego, CA 92103-2132 - Phone
- (619) 297-4901
- Fax
- (619) 688-5994
- NPI assigned
- Apr 2, 2007
- 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
- Timothy B Riley, M.D.
- Title
- Partner
- Phone
- (619) 297-4901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G33037 | CA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | A68463 | CA |
Addresses
Primary practice location
4045 3Rd Ave
Suite 301
San Diego, CA 92103-2132
Mailing address
4045 3Rd Ave
Suite 301
San Diego, CA 92103-2132
Phone (619) 297-4901
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ57305Z | Other | CA | BLUE SHIELD OF CA |
| A68463 | Other | CA | MEDICAL LICENSE |
| G33037 | Other | CA | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
4045 3rd Ave
Ste 301
San Diego, CA 92103
Phone (619) 297-4901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831210368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 3RD AVE",
"address_2": "SUITE 301",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032132",
"telephone_number": "619-297-4901",
"fax_number": "619-688-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 3RD AVE",
"address_2": "SUITE 301",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032132",
"telephone_number": "619-297-4901",
"fax_number": "619-688-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLCREST GYNECOLOGY & OBSTETRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "619-297-4901",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G33037",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A68463",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ57305Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A68463",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G33037",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.