Individual provider Active NPI

Philip Marius Girard Jr., M.D.

  • Neurology Physician
  • Pasadena, CA
National Provider Identifier
1215078381
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G32812 Issued in CA
Practice address
425 S Fair Oaks Ave Ste a
Pasadena, CA 91105-2632
Phone
(626) 449-1814
Fax
(626) 449-0007
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G32812 CA Primary

Addresses

Primary practice location

425 S Fair Oaks Ave Ste a
Pasadena, CA 91105-2632

Mailing address

425 S Fair Oaks Ave Ste a
Pasadena, CA 91105-2632
Phone (626) 449-1814

Other identifiers 3

IdentifierTypeStateIssuer
00G328120OtherCABLUE SHIELD
130000099OtherCAMEDICARE RR
00G328120MedicaidCA

Other names 1

  • Dr. Philip Marius Girard Jr. Professional name

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
I20100217000512 CA Practitioner - Neurology 4284778093 Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Wisconsin, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

425 S Fair Oaks Ave
Suite a
Pasadena, CA 91105-2632
Phone (626) 449-1814

Hospital & facility affiliations

  • Concord Home Health Care Home health agency, Pasadena, CA, CCN 058218
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G32812CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Spitzer MD a Medical Corporation Neurology Past Accepting new patients
David a Girard a Medical Corporation Neurology PastSince Sep 1, 2019 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1215078381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S FAIR OAKS AVE STE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052632",
            "telephone_number": "626-449-1814",
            "fax_number": "626-449-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S FAIR OAKS AVE STE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052632",
            "telephone_number": "626-449-1814",
            "fax_number": "626-449-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "PHILIP",
        "middle_name": "MARIUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G32812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G328120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "130000099",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G328120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIP",
            "last_name": "GIRARD",
            "middle_name": "MARIUS",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.