Philip J Citek, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A047889 Issued in CA

Practice address

7619 Morro Rd
Atascadero, CA 93422-4433

Phone

(805) 461-9192

Fax

(805) 461-5802

NPI assigned

Sep 22, 2006

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Philnln, Inc

  • Family Medicine Physician
  • Atascadero, CA
  • NPI 1992255947
  NPD
• Central Coast Pain Management Specialists, Inc.

  • Specialist
  • San Luis Obispo, CA
  • NPI 1245841394
  NPD (past)
• Galileo Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • San Luis Obispo, CA
  • NPI 1396748547

  Physical Medicine & Rehabilitation

  NPD (past)
• Pain Management Specialists Medical Group

  • Specialist
  • San Luis Obispo, CA
  • NPI 1265435416
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1275633232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4609",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934034609",
            "telephone_number": "805-461-9192",
            "fax_number": "805-461-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224433",
            "telephone_number": "805-461-9192",
            "fax_number": "805-461-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITEK",
        "first_name": "PHILIP",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A047889",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A047889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris E Esguerra MD PC
• Jayme M Christoffersen-Cebi, DO
• Min Tzu Chung
• Maria Chuop, MD
• Daniela Cisneros, M.S CFY-SLP
• Holly Beth Clark, CD(DONA)
• Tyler Eugene Clark
• Monica Anne Clipperton
• Riley Cloonan
• Harland Almonte Clouse, PH.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.