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HILLCREST INTERNAL MEDICINE
NPI 1417099037
Non-Pharmacy Dispensing Site in San Diego, CA

Active since February 12, 2007CLIA 05D0858853 · Waiver
4060 4TH AVE, 505, SAN DIEGO, CA 92103(619) 298-1318 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hillcrest Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HILLCREST INTERNAL MEDICINE (NPI 1417099037) is a healthcare organization registered as a non-pharmacy dispensing site in San Diego, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Scott Peterson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417099037
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameHILLCREST INTERNAL MEDICINE
Location Address4060 4TH AVE, 505San Diego, CA 92103-2116
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(619) 298-1318
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialScott PetersonCfo · (858) 625-2990
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 13, 2017
✔ NPI 1417099037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · G51223
Definition
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.)
4060 4TH AVE, San Diego, CA 92103
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0858853

Hillcrest Internal Medicine A Med Corp · San Diego, CA
Active · expires Aug 31, 2026
CLIA Number05D0858853
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHoward Williams
Laboratory Phone(619) 298-1318
Laboratory LocationHillcrest Internal Medicine A Med Corp4060 4th Ave Ste 505, San Diego, CA 92103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN DWYER N.P.-C
Nurse Practitioner (Family)
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
San Diego County (619) 297-4707
MRS. CHRISTIN ROSE BAWA ATC, PA-C
Physician Assistant
4060 4TH AVE, 7TH FLOOR
SAN DIEGO, CA 92103
San Diego County (619) 686-8313
SARAH JEAN WYLES
Physical Therapist
4060 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 607-3023
SUJA DEVI DUBOIS MD
Internal Medicine (Gastroenterology)
4060 4TH AVE, #240
SAN DIEGO, CA 92103
San Diego County (619) 291-6064
SCRIPPS CLINIC MEDICAL GROUP
Clinic/Center (Multi-Specialty)
4060 4TH AVE, 508
SAN DIEGO, CA 92103
San Diego County (619) 497-6192
DR. JOHN J MARTIN MD
Urology
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
San Diego County (619) 297-4707
SUZANNE MARIE HONEYCUTT PT
Physical Therapist
4060 4TH AVE, #105
SAN DIEGO, CA 92103
San Diego County (619) 299-5246
CARRIE BITSKO A.T.C.
Specialist/Technologist (Athletic Trainer)
4060 4TH AVE, SUITE 105
SAN DIEGO, CA 92103
San Diego County (619) 299-5246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hillcrest Internal Medicine's NPI number?

The NPI number for Hillcrest Internal Medicine is 1417099037. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Hillcrest Internal Medicine located?

Hillcrest Internal Medicine is located at 4060 4th Ave 505, San Diego, CA 92103. The listed phone number is (619) 298-1318.

What is Hillcrest Internal Medicine's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Hillcrest Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0858853) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hillcrest Internal Medicine was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.