Destiny Phillip, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

276974 Issued in CA

Practice address

11692 Autumn Sage Ave
Jurupa Valley, CA 91752-5016

Phone

(909) 470-0894

NPI assigned

Mar 7, 2023

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1184324220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11692 AUTUMN SAGE AVE",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917525016",
            "telephone_number": "909-470-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11692 AUTUMN SAGE AVE",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917525016",
            "telephone_number": "909-470-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "DESTINY",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-09-29",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "276974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Partlow
• Daisy Pearson
• Job Perez Jr
• Jennifer Elaine Perez, RN
• Omar Perez
• Alejandra Pilat, BA
• Mia Nevaeh Pina
• Plan-It Life, Inc.
• Prime Age Health Services LLC
• Rahij Obid DDS

• Licensed Vocational Nurse in Jurupa Valley, CA
• Providers in Jurupa Valley, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.