Healthcare Provider Details

I. General information

NPI: 1376476960
Provider Name (Legal Business Name): SHALONDA RAE HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 MELODY LN
SALINAS CA
93901-2735
US

IV. Provider business mailing address

12547 BROOKSHIRE AVE APT 201
DOWNEY CA
90242-3850
US

V. Phone/Fax

Practice location:
  • Phone: 831-269-9531
  • Fax:
Mailing address:
  • Phone: 310-733-8346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: