Joshua Thomas Phifer, RDN, CDCES, MCHES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86117763 Issued in CA

Practice address

473 E. Carnegie Drive
200
San Bernardino, CA 92408

Phone

(303) 720-8010

Fax

(888) 388-1711

NPI assigned

Nov 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1235774027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 11TH ST UNIT 15",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013358",
            "telephone_number": "303-720-8010",
            "fax_number": "888-388-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E. CARNEGIE DRIVE",
            "address_2": "200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "303-720-8010",
            "fax_number": "888-388-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Tejon St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809032253",
            "country_code": "US",
            "telephone_number": "303-720-8010",
            "fax_number": "888-388-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIFER",
        "first_name": "JOSHUA",
        "middle_name": "THOMAS",
        "credential": "RDN, CDCES, MCHES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CO",
            "license": "27630",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86117763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Phan, DPT
• Pharmacy Service Inc (Beemans RX Pharmacy)
• Pharmacy Service Inc (Beemans Highland Pharmacy)
• Pharmacy Service Inc. (Beemans Prescription Pharmacy)
• Damany Phifer
• Cecelia Herrera Philhower
• Philip Tagatac DMD Inc
• Ashley Phillips
• Lessie Thomas Philpot Jr.
• Brenna Phororo

• Registered Dietitian in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.