Individual provider Active NPI

Jason Michael Phillips, MD, MBA

  • Urology Physician
  • Oceanside, CA
National Provider Identifier
1417120387
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A129806 Issued in CA
Practice address
3907 Waring Rd Ste 4
Oceanside, CA 92056-4454
Phone
(760) 637-2500
NPI assigned
Apr 10, 2008
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A129806 CA Primary

Addresses

Primary practice location

3907 Waring Rd Ste 4
Oceanside, CA 92056-4454

Mailing address

3907 Waring Rd
Oceanside, CA 92056-4454
Phone (706) 295-9984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140825002812 CA Practitioner - Urology 4486872991 Reassigns benefits to 6 organizations
I20210601000814 MI Practitioner - Urology 4486872991 Reassigns benefits to 1 organization
I20210628002075 IL Practitioner - Urology 4486872991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Irvine California College of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
Adventist Health Physicians NetworkGroup PAC ID 3274580972, shared by 2 NPIs, 628 clinicians
Orohealth Corporation a Non Profit Healthcare SystemGroup PAC ID 4082501192, 126 clinicians
La Costa Urology IncGroup PAC ID 1759710429, 2 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

1524 W Lacey Blvd
Hanford, CA 93230-5965

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

2767 Olice Hwy
Oroville, CA 95966-6118

2767 Olive Hwy
Oroville, CA 95966-6118

3907 Waring Rd
Suite 4
Oceanside, CA 92056-4454
Phone (760) 940-5012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.23 of 100Reported as group
Quality
36.36
Promoting interoperability
100
Improvement activities
40
Cost
71.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2021 Accepting new patients
Mdwatch Ca, PC CurrentSince Jan 1, 2021 Accepting new patients
Reedley Community Hospital CurrentSince Jan 1, 2023 Accepting new patients
Sonora Community Hospital CurrentSince Aug 13, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 1, 2022 Accepting new patients
Care Talk Health FL PA CurrentSince Feb 1, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Sonora Community Hospital CurrentSince Aug 13, 2020 Accepting new patients
Sonora Community Hospital CurrentSince Jul 18, 2021 Accepting new patients
Reedley Community Hospital CurrentSince Jan 1, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2021 Accepting new patients
La Costa Urology Inc Urology CurrentSince Apr 11, 2019 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

804 W 7th St
Hanford, CA 93230
Phone (559) 587-0330

3907 Waring Rd
Oceanside, CA 92056
Phone (760) 732-0557

3907 Waring Rd
Ste 4
Oceanside, CA 92056
Phone (760) 295-9984

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

690 Guzzi Ln
Ste B
Sonora, CA 95370
Phone (209) 536-5060

900 Greenley Rd
Ste 922
Sonora, CA 95370
Phone (209) 536-3738

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jphillips42220@scrippshlth.medalliesdirect.net

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1417120387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564454",
            "telephone_number": "706-295-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 WARING RD STE 4",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564454",
            "telephone_number": "760-637-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A129806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.