Individual provider Active NPI

Philip Andrew Doyle, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1376928309
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65235 Issued in CA
Practice address
1508 Alhambra Blvd Ste 200
Sacramento, CA 95816-6510
Phone
(916) 679-3590
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Medicine Associates Medical Group Inc. 93 clinicians

Practice addresses (Care Compare)

1485 River Park Dr
Suite 200
Sacramento, CA 95815-4530
Phone (916) 325-1040

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213002139 CA Practitioner - Physician Assistant 5698201671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65235CAMDClinical Social Worker
PA65235CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Sleep Lab Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 325-1040

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65235 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1508 Alhambra Blvd Ste 200
Sacramento, CA 95816-6510

Mailing address

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone (818) 923-3159

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2024.

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1376928309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "818-923-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 ALHAMBRA BLVD STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166510",
            "telephone_number": "916-679-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "PHILIP",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.