Organization Active NPI

Nabil Phillips MD Inc

  • Hematology & Oncology Physician
  • Santa Ana, CA
National Provider Identifier
1093748691
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A46495 Issued in CA
Legal business name
NABIL PHILLIPS MD INC
Practice address
1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone
(714) 542-9100
Fax
(714) 542-9105
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Nabil A Phillips, M.D.
Title
Ceo
Phone
(714) 542-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X A46495 CA Primary

Addresses

Primary practice location

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509

Mailing address

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone (714) 542-9100

Other identifiers 1

IdentifierTypeStateIssuer
00A464950MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1093748691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N TUSTIN AVE",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053509",
            "telephone_number": "714-542-9100",
            "fax_number": "714-542-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N TUSTIN AVE",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053509",
            "telephone_number": "714-542-9100",
            "fax_number": "714-542-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABIL PHILLIPS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-542-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A46495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A464950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.