Individual provider Active NPI

Jeanne Vesey Phillips, MD

  • Cardiovascular Disease Physician
  • Monterey, CA
National Provider Identifier
1174515449
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C145503 Issued in CA
Practice address
30 Garden CT
B
Monterey, CA 93940-5302
Phone
(831) 647-1123
Fax
(831) 886-1529
NPI assigned
Aug 22, 2005
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD25435 OR
Cardiovascular Disease Physician 207RC0000X C145503 CA Primary

Addresses

Primary practice location

30 Garden CT
B
Monterey, CA 93940-5302

Mailing address

PO Box 480
Salinas, CA 93902-0480

Other identifiers 2

IdentifierTypeStateIssuer
P00893300OtherORRR MEDICARE
022735MedicaidOR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101001695 CA Practitioner - Cardiovascular Disease (Cardiology) 5991779258 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1270 Natividad Rd
Salinas, CA 93906-3144

1270 Natividad Rd
146.38
Salinas, CA 93906-3198

1441 Constitution Blvd
Salinas, CA 93906-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6010

210 Canal St
King City, CA 93930-3432
Phone (931) 385-7100

PO Box
Suite 80007
Salinas, CA 93912

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C145503CAMDCardiovascular Disease Physician
MD25435ORMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Oct 14, 2022 Accepting new patients
County of Monterey CurrentSince Oct 14, 2022 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
County of Monterey Current Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Dec 14, 2016 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Montage Medical Group CurrentSince Nov 1, 2016 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Dec 14, 2016 Accepting new patients
Natividad Medical Group Past Accepting new patients
Commonspirit Oregon Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123

30 Garden Ct
Ste B
Monterey, CA 93940
Phone (831) 647-1123

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1174515449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939020480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GARDEN CT",
            "address_2": "B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405302",
            "telephone_number": "831-647-1123",
            "fax_number": "831-886-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEANNE",
        "middle_name": "VESEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD25435",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C145503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00893300",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022735",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.