Billie M. Phelps, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A26348 Issued in CA

Legal business name

BILLIE M. PHELPS, M.D., INC.

Practice address

2001 Santa Monica Blvd
Suite 855-W
Santa Monica, CA 90404-2102

Phone

(310) 829-7728

Fax

(310) 829-1403

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Billie Madelyn Phelps, M,D.NPI 1609949718

Title

President

Phone

(310) 829-7728

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Billie Madelyn Phelps, MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1609949718
  NPD Authorized official

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1245506393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 855-W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042189",
            "telephone_number": "310-829-7728",
            "fax_number": "310-829-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 855-W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-7728",
            "fax_number": "310-829-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLIE M. PHELPS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "MADELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-7728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A26348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Bion Bierer, MD
• Dina Farshidi Bierman, M.D.
• Nadia Judith Bijaoui, PH.D - D.H.ED - RP
• Anton Bilchik, M.D., PH.D., M.B.A.
• Deborah Willson Bilder, PHD
• Shahin Issac Bina, DDS
• Laurie Binder, LAC, RNCNP
• Biohealth Diagnostic Laboratory
• Biohealth Surgical Institute
• Bionutrax LLC

• Dermatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.