NPIMap

Individual provider Active NPI

Theophilos Elias Yphantides, M.D

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1215031752
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A67038 Issued in CA
Practice address
16950 Via Tazon
San Diego, CA 92127-1607
Phone
(858) 499-2777
Fax
(858) 521-2001
NPI assigned
Sep 12, 2006
Last updated
Jun 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A67038 CA Primary

Addresses

Primary practice location

16950 Via Tazon
San Diego, CA 92127-1607

Mailing address

16950 Via Tazon
San Diego, CA 92127-1607
Phone (858) 499-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000429 CA Practitioner - Family Practice 6406897685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67038CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Mar 1, 2006 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Mar 1, 2006 Accepting new patients
Arch Health Partners, Inc Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
North County Health Project Inc PastSince Apr 1, 2023 Accepting new patients

Locations

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

211 13th St
Ramona, CA 92065
Phone (760) 789-5160

16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705

16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

Interoperability endpoints

  • Direct secure messaging: theophilos.yphantides.p1@direct.arch.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
TruecareSan Marcos, CA, CCN 551923 Federally qualified health center Corporate Director Nov 8, 2022
TruecareOceanside, CA, CCN 551935 Federally qualified health center Corporate Director Apr 1, 2023
TruecareOceanside, CA, CCN 551932 Federally qualified health center Corporate Director Apr 1, 2023
TruecareRamona, CA, CCN 551931 Federally qualified health center Corporate Director Apr 1, 2023
TruecareCarlsbad, CA, CCN 551933 Federally qualified health center Corporate Director Apr 1, 2023
TruecareOceanside, CA, CCN 551006 Federally qualified health center Corporate Director Apr 1, 2023
TruecarePerris, CA, CCN 751912 Federally qualified health center Corporate Director Apr 1, 2023
TruecareSan Marcos, CA, CCN A01111 Federally qualified health center Corporate Director Apr 1, 2023
TruecareOceanside, CA, CCN A01110 Federally qualified health center Corporate Director Apr 1, 2023
TruecareSan Marcos, CA, CCN 051961 Federally qualified health center Corporate Director Apr 1, 2023
TruecareOceanside, CA, CCN A01859 Federally qualified health center Corporate Director Apr 1, 2023
TruecareOceanside, CA, CCN A01870 Federally qualified health center Corporate Director Apr 1, 2023
TruecareSan Marcos, CA, CCN A01951 Federally qualified health center Corporate Director Apr 1, 2023
TruecareOceanside, CA, CCN A01987 Federally qualified health center Corporate Director Apr 1, 2023
TruecareOceanside, CA, CCN A11010 Federally qualified health center Corporate Director Apr 1, 2023

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Organizations & group practices 4

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 2

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1215031752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16950 VIA TAZON",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271607",
            "telephone_number": "858-499-2777",
            "fax_number": "858-521-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 VIA TAZON",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271607",
            "telephone_number": "858-499-2777",
            "fax_number": "858-521-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YPHANTIDES",
        "first_name": "THEOPHILOS",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.