HILLCREST INTERNAL MEDICINE NPI 1417099037

NPI Information

  • NPI: 1417099037
  • Provider Name: HILLCREST INTERNAL MEDICINE
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • CLIA Number: 05D0858853
  • Address: 4060 4TH AVE
    505
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 298-1318

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NPI Details

HILLCREST INTERNAL MEDICINE is a non pharmacy dispensing site in San Diego, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) HILLCREST INTERNAL MEDICINE NPI is 1417099037. The provider is registered as an organization entity type.

The provider's business location address is:

4060 4TH AVE
505
SAN DIEGO, CA
ZIP 92103-116
Phone: (619) 298-1318

The provider's authorized official is Scott Peterson .
The authorized official title is Cfo and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 05D0858853 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 1/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteG51223CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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