Thomas R. Phelps, M.D., Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A31705 Issued in CA

Legal business name

THOMAS R. PHELPS, M.D., INC.

Practice address

2275 Las Posas Rd
Camarillo, CA 93010-3344

Phone

(805) 388-3732

Fax

(805) 987-3094

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Robert Phelps, M.D.

Title

Medical Director

Phone

(805) 388-3732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1205024130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 LAS POSAS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103344",
            "telephone_number": "805-388-3732",
            "fax_number": "805-987-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 LAS POSAS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103344",
            "telephone_number": "805-388-3732",
            "fax_number": "805-987-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. PHELPS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-388-3732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A31705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.