| Hillcrest Internal Medicine A Medical Corporation | |
|
4060 4th Ave Ste 505 San Diego CA 92103 | |
| (619) 298-1318 | |
| (619) 298-0843 |
| Full Name | Hillcrest Internal Medicine A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4060 4th Ave, San Diego, California |
| Authorized Official Name and Position | Howard Williams (VICE PRESIDENT) |
| Authorized Official Contact | 6192981318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillcrest Internal Medicine A Medical Corporation 4060 4th Ave Ste 505 San Diego CA 92103 Ph: (619) 298-1318 | Hillcrest Internal Medicine A Medical Corporation 4060 4th Ave Ste 505 San Diego CA 92103 Ph: (619) 298-1318 |
| NPI Number | 1912003252 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 07/20/2010 |
| Medicare PECOS PAC ID | 1850323411 |
|---|---|
| Medicare Enrollment ID | O20050902000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912003252 | NPI | - | NPPES |
| GR0086930 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stefan A Willging |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679523518 PECOS PAC ID: 1355301334 Enrollment ID: I20041013001463 |
| Provider Name | Karen H Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285830505 PECOS PAC ID: 4082793468 Enrollment ID: I20080509000634 |
| Provider Name | Angela R Acfalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013983857 PECOS PAC ID: 0648316133 Enrollment ID: I20091014000531 |
| Provider Name | Howard Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548210081 PECOS PAC ID: 2769662055 Enrollment ID: I20110203000302 |
| Provider Name | Mark D Mosson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174765549 PECOS PAC ID: 7911163936 Enrollment ID: I20120719000201 |
| Provider Name | Amy Marie Sorgent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003117763 PECOS PAC ID: 9436302650 Enrollment ID: I20130118000353 |
| Provider Name | Amanda M Schmidtmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063854446 PECOS PAC ID: 4486888252 Enrollment ID: I20190425000904 |
| Provider Name | Kori Griffith Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518510916 PECOS PAC ID: 6608200779 Enrollment ID: I20191223002274 |
| Provider Name | Spencer Hoostal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912528837 PECOS PAC ID: 7214379775 Enrollment ID: I20240529002945 |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |