NPIMap

Organization Active NPI

Hill Park Integrative Medical Center

Doing business as Hill Park Medical Center

  • General Practice Physician
  • Sebastopol, CA
National Provider Identifier
1952755415
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A6452 Issued in CA
Legal business name
HILL PARK INTEGRATIVE MEDICAL CENTER
Doing business as
Hill Park Medical Center
Practice address
435 Petaluma Ave
Suite 150
Sebastopol, CA 95472-4277
Phone
(707) 861-7300
Fax
(707) 823-8568
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Summer Begin
Title
Practice Manager
Phone
(707) 861-7300

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 20A9470 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G55518 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 20A6452 CA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ND-353 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ND-613 CA

Addresses

Primary practice location

435 Petaluma Ave
Suite 150
Sebastopol, CA 95472-4277

Mailing address

435 Petaluma Ave
Suite 150
Sebastopol, CA 95472-4277
Phone (707) 861-7300

Other names 1

  • Hill Park Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1952755415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 PETALUMA AVE",
            "address_2": "SUITE 150",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724277",
            "telephone_number": "707-861-7300",
            "fax_number": "707-823-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PETALUMA AVE",
            "address_2": "SUITE 150",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724277",
            "telephone_number": "707-861-7300",
            "fax_number": "707-823-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL PARK INTEGRATIVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "BEGIN",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "707-861-7300"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A9470",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55518",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A6452",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "ND-353",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "ND-613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Park Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.