Hollister Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20AX7593 Issued in CA

Legal business name

HOLLISTER PEDIATRICS

Practice address

930 Sunnyslope Rd
Suite E-2
Hollister, CA 95023-5615

Phone

(831) 630-1477

Fax

(831) 630-1531

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Maria M Perez

Title

Office Manager

Phone

(831) 630-1477

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18704/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzellen Angela Jones, FNP

  • Occupational Health Nurse Practitioner
  • Soquel, CA
  • NPI 1316438997
  NPD (past)
• Hue Nguyen-Ngo, D.O.

  • Pediatrics Physician
  • Hollister, CA
  • NPI 1033138052
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1982879722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD",
            "address_2": "SUITE E-2",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235615",
            "telephone_number": "831-630-1477",
            "fax_number": "831-630-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD",
            "address_2": "SUITE E-2",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235615",
            "telephone_number": "831-630-1477",
            "fax_number": "831-630-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLISTER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-630-1477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20AX7593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX75930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent A Hileman, D.C.
• Doreen Patricia Smith Hill
• Kimberly Marie Hill, MSN, FNP
• Hollister Cardiac Rehabilitation Center
• Hollister Emergency Physicians, a Medical Corporation
• Hollister Physical Therapy, Inc
• Hollister School District
• Hollister Taxi
• Steve M Homen, RNFA
• Kathy Howard

• Pediatrics Physician in Hollister, CA
• Providers in Hollister, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.