Individual provider Active NPI

Alfred Zimbalist Hill, MPSS, SUDCC

  • Addiction (Substance Use Disorder) Counselor
  • Imperial Beach, CA
National Provider Identifier
1962134189
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14926 Issued in CA
Practice address
1325 Iris Ave
Imperial Beach, CA 91932-3751
Phone
(800) 733-5627
NPI assigned
Jun 27, 2022
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14926 CA Primary
Peer Specialist 175T00000X MPSS-COSAFV CA

Addresses

Primary practice location

1325 Iris Ave
Imperial Beach, CA 91932-3751

Mailing address

2012 Illion St
San Diego, CA 92110-1233
Phone (619) 804-9716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MPSS-COSAFVCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tradition One PastSince Jun 30, 2024 Accepting new patients
Family Health Centers of San Diego Inc PastSince Dec 1, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1962134189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 ILLION ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101233",
            "telephone_number": "619-804-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 IRIS AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919323751",
            "telephone_number": "800-733-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ALFRED",
        "middle_name": "ZIMBALIST",
        "credential": "MPSS, SUDCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14926",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-COSAFV",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.