Individual provider Active NPI

Phillip G. Wright, M.D.

  • Specialist
  • Oakland, CA
National Provider Identifier
1396768883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G17389 Issued in CA
Practice address
8060 Surrey LN
Oakland, CA 94605-4225
Phone
(510) 638-3131
Fax
(510) 638-3134
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G17389 CA Primary

Addresses

Primary practice location

8060 Surrey LN
Oakland, CA 94605-4225

Mailing address

8060 Surrey LN
Oakland, CA 94605-4225
Phone (510) 638-3131

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105001104 CA Practitioner - General PracticePractitioner - General SurgeryPractitioner - Thoracic Surgery 5799743142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Southern California Keck School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20524 Wisteria St
Castro Valley, CA 94546-5523
Phone (510) 727-9169

2780 26TH Ave
Oakland, CA 94601-1911
Phone (510) 536-1838

4000 Camino Tassajara
Danville, CA 94506-4711
Phone (925) 648-2800

6101 Fair Oaks Blvd
Carmichael, CA 95608-4818
Phone (916) 488-7211

750 Auburn Ravine Rd
Auburn, CA 95603-3820
Phone (530) 823-6131

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G17389CAMDSpecialist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396768883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 SURREY LN",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054225",
            "telephone_number": "510-638-3131",
            "fax_number": "510-638-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 SURREY LN",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054225",
            "telephone_number": "510-638-3131",
            "fax_number": "510-638-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "PHILLIP",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G17389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.