NPIMap

Organization Active NPI

Dr. Roy Phillips

  • Podiatrist
  • San Diego, CA
National Provider Identifier
1033531439
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1394 Issued in CA
Legal business name
DR. ROY PHILLIPS
Practice address
3670 Clairemont Dr
Suite #7
San Diego, CA 92117-5911
Phone
(858) 272-1091
Fax
(866) 401-4918
NPI assigned
Jan 20, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roy Phillips, DPMNPI 1104832070
Title
Owner
Phone
(858) 272-1091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1394 CA Primary

Addresses

Primary practice location

3670 Clairemont Dr
Suite #7
San Diego, CA 92117-5911

Mailing address

3670 Clairemont Dr
#7
San Diego, CA 92117-5911
Phone (858) 272-1091

Other identifiers 1

IdentifierTypeStateIssuer
1104832070OtherCANPI

National Provider Directory

National Provider Directory

Locations

3670 Clairemont Dr
Ste 7
San Diego, CA 92117
Phone (858) 272-1091

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1033531439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 CLAIREMONT DR",
            "address_2": "#7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175911",
            "telephone_number": "858-272-1091",
            "fax_number": "866-401-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 CLAIREMONT DR",
            "address_2": "SUITE #7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175911",
            "telephone_number": "858-272-1091",
            "fax_number": "866-401-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROY PHILLIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-272-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104832070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.