Active NPI
The Hill Medical Corporation
- Diagnostic Radiology Physician
- Pasadena, CA
National Provider Identifier
1922097914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- THE HILL MEDICAL CORPORATION
- Practice address
- 625 S Fair Oaks Ave
Suite #140
Pasadena, CA 91105-2615 - Phone
- (626) 793-6141
- Fax
- (626) 796-0172
- NPI assigned
- Oct 21, 2005
- 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
- Dr. Christopher Graham Hedley, MEDICAL DOCTOR
- Title
- President of the Hill Medical Corp
- Phone
- (626) 397-5139
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
625 S Fair Oaks Ave
Suite #140
Pasadena, CA 91105-2615
Mailing address
223 N 1St Ave
Suite #201
Arcadia, CA 91006-7089
Phone (626) 698-7246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ71408Z | Other | CA | BLUE SHIELD |
| GR0003433 | Medicaid | CA | |
| 1922097914 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040917000570 | CA | Part B Supplier - Clinic/Group Practice | 2062301518 |
Receives reassigned benefits from 29 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arcadia, CA; West Covina, CA; Studio City, CA; Sherman Oaks, CA; Santa Monica, CA; San Rafael, CA; San Marino, CA; San Diego, CA… |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Pasadena, CA
- NPI 1154310415
O20040917000570
-
- Diagnostic Radiology Physician
- Fountain Valley, CA
- NPI 1437197811
O20040917000570
-
- Diagnostic Radiology Physician
- Pasadena, CA
- NPI 1679562698
O20040917000570
-
- Diagnostic Radiology Physician
- Glendora, CA
- NPI 1760471759
O20040917000570
-
- Diagnostic Radiology Physician
- Pasadena, CA
- NPI 1902025075
O20040917000570
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405555200000",
"number": "1922097914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N 1ST AVE",
"address_2": "SUITE #201",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067089",
"telephone_number": "626-698-7246",
"fax_number": "626-447-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE",
"address_2": "SUITE #140",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052615",
"telephone_number": "626-793-6141",
"fax_number": "626-796-0172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HILL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-21",
"last_updated": "2014-07-17",
"status": "A",
"authorized_official_last_name": "HEDLEY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "GRAHAM",
"authorized_official_title_or_position": "PRESIDENT OF THE HILL MEDICAL CORP",
"authorized_official_telephone_number": "626-397-5139",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MEDICAL DOCTOR"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ71408Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0003433",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1922097914",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- The Gooden Center
- The Hill Medical Corporation
- The Hill Medical Corporation
- The Hill Medical Corporation
- The Hill Medical Corporation
- The Hospice Company, Inc.
- The Huntington Medical Foundation
- The Huntington Medical Foundation
- The Huntington Medical Foundation
- The Integrative Depth Psychology Institute, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.