Geoffrey Louis Phelan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C36207 Issued in CA

Practice address

1220 E Avenue S
Suite F
Palmdale, CA 93550-6196

Phone

(661) 273-1445

Fax

(661) 273-4943

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053421016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 LEONA AVE",
            "city": "LEONA VALLEY",
            "state": "CA",
            "postal_code": "935517300",
            "telephone_number": "661-270-1343",
            "fax_number": "661-273-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E AVENUE S",
            "address_2": "SUITE F",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506196",
            "telephone_number": "661-273-1445",
            "fax_number": "661-273-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "GEOFFREY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C36207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C36207",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silvia Perez
• Viviana Perez
• Nijae Perry
• Christopher Jay Petersen, D.C.
• Emelia Petrossian, O.D.
• Laura Juree Phillips, LCSW
• PHV 4 Rcfe LLC
• Christine Marie Picker, FNP
• Denorvious Pickett Jr.
• Pieces Group, LP

• Family Medicine Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.