Healthcare Provider Details

I. General information

NPI: 1992461792
Provider Name (Legal Business Name): WILLIAM GERARD HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 E COLORADO BLVD
PASADENA CA
91105-1986
US

IV. Provider business mailing address

177 E. COLORADO BLVD.
PASADENA CA
91105-1986
US

V. Phone/Fax

Practice location:
  • Phone: 626-663-4890
  • Fax:
Mailing address:
  • Phone: 626-663-4890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number133132
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number80044
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: