Vernon Greg Phillips, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G043409 Issued in CA

Practice address

707 Palm Ave
Imperial Beach, CA 91932

Phone

(619) 429-7700

Fax

(619) 429-7703

NPI assigned

Jul 28, 2006

Last updated

Aug 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Sharp Healthcare

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1477763035
  NPD (past)
• VN Healthy Living Medical Group Inc

  • Internal Medicine Physician
  • Imperial Beach, CA
  • NPI 1154030955
  NPD (past)
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1427062918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "91932",
            "telephone_number": "619-429-7700",
            "fax_number": "619-429-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "91932",
            "telephone_number": "619-429-7700",
            "fax_number": "619-429-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "VERNON",
        "middle_name": "GREG",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G043409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G434090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma Guadalupe Paredes, SUD
• Lena Parker, PT, DPT
• Chris D Patton, D.D.S.
• Emily Elizabeth Perrine, PSYD
• Linda Petrie
• Frances McDonald Pratte, LMFT
• Prosperous Health Imperial Beach, LLC
• Michael Steve Quirozayala
• Renuka Rajiv, NP
• RDN Foundation Inc.

• Family Medicine Physician in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.