Healthcare Provider Details

I. General information

NPI: 1659208858
Provider Name (Legal Business Name): HILT MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11226 GOLD EXPRESS DR STE 205
GOLD RIVER CA
95670-4411
US

IV. Provider business mailing address

3959 17TH AVE
SACRAMENTO CA
95820-2752
US

V. Phone/Fax

Practice location:
  • Phone: 916-638-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN JACK HILT
Title or Position: OWNER
Credential: MD
Phone: 740-513-6239