Active NPI
Steve Keith Phillips, PA-S
- Physician Assistant
- Vista, CA
National Provider Identifier
1043785710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57858
- Practice address
- 2243 Green Hills Way
Vista, CA 92084-2743 - Phone
- (760) 458-9413
- NPI assigned
- Oct 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57858 | CA | Primary |
Addresses
Primary practice location
2243 Green Hills Way
Vista, CA 92084-2743
Mailing address
2243 Green Hills Way
Vista, CA 92084-2743
Phone (760) 458-9413
Other names 1
- Steven Keith Phillips
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57858 | CA | MD | General Practice Dentistry |
Interoperability endpoints
- sphillips713125@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Valley Center, CA
- NPI 1861449522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1043785710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 GREEN HILLS WAY",
"city": "VISTA",
"state": "CA",
"postal_code": "920842743",
"telephone_number": "760-458-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 GREEN HILLS WAY",
"city": "VISTA",
"state": "CA",
"postal_code": "920842743",
"telephone_number": "760-458-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "STEVE",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "PA-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-09",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVEN",
"last_name": "PHILLIPS",
"middle_name": "KEITH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.