Paul S Phillips, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G45869 Issued in CA

Practice address

501 Washington St
Suite 512
San Diego, CA 92103-2231

Phone

(619) 297-0014

Fax

(619) 297-1014

NPI assigned

Jul 31, 2006

Last updated

Feb 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pphillips27541@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Scripps Mercy Physicians Cardiology Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1477644474

  Cardiovascular Disease

  Medicare reassignment NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• La Jolla Cardiovascular Medical Assoc Inc

  • Cardiovascular Disease Physician
  • San Diego, CA
  • NPI 1649287780
  NPD (past)
• San Diego Heart Arrhythmia Center, AMC

  • Clinical Cardiac Electrophysiology Physician
  • San Diego, CA
  • NPI 1447751227

  Cardiovascular Disease

  NPD (past)
• San Diego Heart Rhythm Center a Medical Corporation

  • Clinical Cardiac Electrophysiology Physician
  • San Diego, CA
  • NPI 1447695465

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1164438081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST",
            "address_2": "SUITE 512",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032231",
            "telephone_number": "619-297-0014",
            "fax_number": "619-297-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST",
            "address_2": "SUITE 512",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032231",
            "telephone_number": "619-297-0014",
            "fax_number": "619-297-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G45869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G458690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "X-RAY/FLUOROSCOPY",
            "identifier": "RHD 126409",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G458691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Phillips
• Martin Ian Phillips
• Misty Phillips
• Nicole Phillips
• P K Phillips, LMFT, MA, MS
• Quentin Phillips
• Rachel Christine Phillips, LMSW
• Richard Lawrence Phillips, IDC
• Roy Phillips, DPM
• Serenity Chloe Phillips

• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.