Provider Demographics
NPI:1134327224
Name:PEREIRA, HILLARY BASSETT (MD)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:BASSETT
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HILARY
Other - Middle Name:BASSETT
Other - Last Name:PEREIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6001 NORRIS CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5400
Mailing Address - Country:US
Mailing Address - Phone:925-275-8280
Mailing Address - Fax:
Practice Address - Street 1:6001 NORRIS CANYON RD
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5400
Practice Address - Country:US
Practice Address - Phone:925-275-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACF544ZMedicare PIN