Phillips Med Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A139283 Issued in CA

Legal business name

PHILLIPS MED INC

Practice address

4100 Central Ave
Ste. 106
Riverside, CA 92506-2933

Phone

(951) 683-6830

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Patrick Phillips, MD

Title

Ceo

Phone

(209) 499-0090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1225496235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "address_2": "STE. 106",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "address_2": "STE. 106",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062933",
            "telephone_number": "951-683-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-499-0090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A139283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Shing Kwan Phen, MD
• Julia Phev
• Thalia Phuong Phi
• Phil Johnson Gen PTR
• Chris Philbrook
• Kylia Phillips-Pittman
• Anthony W Phillips, RN, BSN
• Diana Phillips, MS
• Gaston Phillips
• James Henry Phillips Sr., LMFT

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.