Active NPI
Thesalonica Paige Hilliard, NP
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1861956724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95010585
- Practice address
- 2630 1St Ave
San Diego, CA 92103-6599 - Phone
- (619) 621-4771
- Fax
- (619) 234-0206
- NPI assigned
- Jan 24, 2019
- Last updated
- May 21, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95010585 | CA | Primary |
Addresses
Primary practice location
2630 1St Ave
San Diego, CA 92103-6599
Mailing address
2736 Highway 79
Julian, CA 92036-9243
Phone (619) 621-4771
Other names 1
- Ms. Thesalonica Paige Hilliard
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190517000586 | CA | Practitioner - Nurse Practitioner | 1456694207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95010585 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Operation Samahan Inc | Past | Accepting new patients | |
| Operation Samahan, Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1194616268
-
dba Samahan Health Centers
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1871680397
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1861956724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 HIGHWAY 79",
"city": "JULIAN",
"state": "CA",
"postal_code": "920369243",
"telephone_number": "619-621-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 1ST AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036599",
"telephone_number": "619-621-4771",
"fax_number": "619-234-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "THESALONICA",
"middle_name": "PAIGE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95010585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THESALONICA",
"last_name": "HILLIARD",
"middle_name": "PAIGE",
"prefix": "MS.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
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 May 21, 2026; 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.