Phillip Ray Enterprises, LLC

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

347002410 Issued in CA

Legal business name

PHILLIP RAY ENTERPRISES, LLC

Practice address

5711 59TH St
Sacramento, CA 95824-1815

Phone

(916) 737-0173

Fax

(916) 737-0174

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Gibson, B.A.

Title

Managing Member/Owner

Phone

(916) 761-8385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1316291438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 59TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958241815",
            "telephone_number": "916-737-0173",
            "fax_number": "916-737-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 59TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958241815",
            "telephone_number": "916-737-0173",
            "fax_number": "916-737-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP RAY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "916-761-8385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "347002410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phieu Lam
• Philip L. Levy, MD Medical Corp
• Femi Philip, M.D.
• Sindhu Elizabeth Philip, PSY.D.
• Anthony F. Philipps, M.D.
• Mary Phillips-Gevercer, NP
• Desiree Charise Phillips-Sanderson
• Ashakie Phillips
• Brian Phillips
• Carl Phillips Jr.

• Ambulatory Family Planning Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Ambulatory Family Planning Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.