Active NPI
David Joseph Hill, O.D.
- Optometrist
- West Covina, CA
National Provider Identifier
1861503344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T5538
- Practice address
- 1000 Lakes Dr
Suite 180
West Covina, CA 91790-2900 - Phone
- (626) 919-4821
- Fax
- (626) 917-8439
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | T5538 | CA | Primary |
Addresses
Primary practice location
1000 Lakes Dr
Suite 180
West Covina, CA 91790-2900
Mailing address
18403 Mount Cherie Cir
Fountain Valley, CA 92708-6837
Phone (626) 919-4821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZD00055380 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T5538 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861503344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18403 MOUNT CHERIE CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086837",
"telephone_number": "626-919-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LAKES DR",
"address_2": "SUITE 180",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902900",
"telephone_number": "626-919-4821",
"fax_number": "626-917-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "T5538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZD00055380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.