Phoenix Health & Wellness PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A133270 Issued in CA

Legal business name

PHOENIX HEALTH & WELLNESS PC

Practice address

576 N Sunrise Ave Ste 210
Roseville, CA 95661

Phone

(916) 299-6051

Fax

(916) 581-6405

NPI assigned

May 16, 2018

Organization subpart

No

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

Authorized official

Name

Bertina Marie Hooks, MD

Title

President/Ceo

Phone

(916) 626-9869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1407346208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE STE 210",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612847",
            "telephone_number": "916-299-6501",
            "fax_number": "916-581-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE STE 210",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-299-6051",
            "fax_number": "916-581-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "BERTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-626-9869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A133270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Duval Phillips, NP
• Douglas Alan Phillips, RPT
• Tierra Akela Phillips
• Barbara Lynn Phippen, NP
• Mishelle Renae Phipps, PHARM.D.
• Phoenix Horizon Medical Corp
• Wynter Nigel Phoenix, M.D
• Teerarat Neal Phuatrakoon
• Physical Medicine of America
• Physicians Network Medical Group Inc

• Internal Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.