Organization Active NPI

Philipp M Lippe, MD Medical Corporation

  • Pain Medicine Physician
  • San Jose, CA
National Provider Identifier
1215142369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
G5286 Issued in CA
Legal business name
PHILIPP M LIPPE, MD MEDICAL CORPORATION
Practice address
18640 Vista de Almaden
San Jose, CA 95120-1609
Phone
(408) 927-0802
Fax
(408) 927-0803
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philipp M Lippe, MD
Title
President
Phone
(408) 927-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X G5286 CA Primary

Addresses

Primary practice location

18640 Vista de Almaden
San Jose, CA 95120-1609

Mailing address

18640 Vista de Almaden
San Jose, CA 95120-1609
Phone (408) 927-0802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215142369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18640 VISTA DE ALMADEN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951201609",
            "telephone_number": "408-927-0802",
            "fax_number": "408-927-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18640 VISTA DE ALMADEN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951201609",
            "telephone_number": "408-927-0802",
            "fax_number": "408-927-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIPP M LIPPE, MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPPE",
        "authorized_official_first_name": "PHILIPP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-927-0802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G5286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.