HILLCREST UROLOGICAL MEDICAL GRP.
NPI 1568575447
Urology in San Diego, CA

Active since August 16, 2006
4060 4TH AVE, SUITE 310, SAN DIEGO, CA 92103(619) 297-4707(619) 297-2448 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hillcrest Urological Medical Grp. NPPES

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

HILLCREST UROLOGICAL MEDICAL GRP. (NPI 1568575447) is a healthcare organization registered as an urology in San Diego, California and active in the NPI registry since August 2006. The organization lists Monica Vanderwerf, Contracts Specialist, as its authorized official.

NPPES Registry Identity

NPI1568575447
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameHILLCREST UROLOGICAL MEDICAL GRP.
Location Address4060 4TH AVE, SUITE 310San Diego, CA 92103-2116
Mailing AddressPo Box 33865San Diego, CA 92163-3865 · (858) 888-7700 · Fax (858) 888-7721
Fax(619) 297-2448
Organization SubpartNo
Authorized OfficialMonica VanderwerfContracts Specialist · (858) 888-7700
Enumeration DateAugust 16, 2006
Last NPPES UpdateApril 1, 2013
NPI 1568575447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A44719
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4060 4TH AVE, San Diego, CA 92103

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2142562

Hillcrest Family Health Center · San Diego, CA
Expired · Jan 11, 2026
CLIA Number05D2142562
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 12, 2024
Certificate Expiration DateJanuary 11, 2026
Laboratory DirectorChristopher Gordon
Laboratory Phone(619) 906-4536
Laboratory LocationHillcrest Family Health Center4094 4th Ave, San Diego, CA 92103
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Internal Medicine (Nephrology)
4060 4TH AVE, STE 220
SAN DIEGO, CA 92103
Internal Medicine
4060 4TH AVE, SUITE 500
SAN DIEGO, CA 92103
Dentist (Periodontics)
4060 4TH AVE, SUITE #303
SAN DIEGO, CA 92103
Internal Medicine
4060 4TH AVE, SUITE 500
SAN DIEGO, CA 92103
Internal Medicine
4060 4TH AVE, SUITE 100
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE, #105
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE, #105
SAN DIEGO, CA 92103
Surgery
4060 4TH AVE, SUITE 440
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568575447, enumerated as an "organization" on August 16, 2006.

The provider is located at 4060 4TH AVE SUITE 310 SAN DIEGO, CA 92103 and the phone number is (619) 297-4707.

Urology with taxonomy code 208800000X.