Phyllis Mo, DO, Inc

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

PHYLLIS MO, DO, INC

Doing business as

The Osteopathic Way

Practice address

1021 E Walnut St Ste 101
Pasadena, CA 91106-1479

Phone

(626) 658-8697

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Joshua James Fischer, DO

Title

Credentialing/Billing Consultant

Phone

(831) 920-3838

Specialties & licenses 1

Addresses

Other names 1

• The Osteopathic Way Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis Mo, D.O.

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1215376843
  NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1215577168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E WALNUT ST STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061479",
            "telephone_number": "626-658-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E WALNUT ST STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061479",
            "telephone_number": "626-658-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS MO, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING CONSULTANT",
        "authorized_official_telephone_number": "831-920-3838",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Osteopathic Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neuromusculoskeletal Medicine & OMM Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.