Individual provider Active NPI

Ronald E Phillips, PHD, APRN, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1437612538
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
95011464 Issued in CA
Practice address
1411 E 31St St
Oakland, CA 94602-1092
Phone
(510) 437-4800
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95011464 CA
Adult Health Nurse Practitioner 363LA2200X 839048 NV
Adult Health Nurse Practitioner 363LA2200X 1189480 TX
Critical Care Medicine Nurse Practitioner 363LC0200X 1189480 TX
Gerontology Nurse Practitioner 363LG0600X 1189480 TX
Critical Care Medicine Nurse Practitioner 363LC0200X 839048 NV
Gerontology Nurse Practitioner 363LG0600X 839048 NV
Gerontology Nurse Practitioner 363LG0600X 95011464 CA
Critical Care Medicine Nurse Practitioner 363LC0200X 95011464 CA Primary

Addresses

Primary practice location

1411 E 31St St
Oakland, CA 94602-1092

Mailing address

201 Seton Pkwy
Round Rock, TX 78665-8000

Other practice location 1

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Other practice location 2

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

Other practice location 3

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200226002039 CA Practitioner - Nurse Practitioner 3173950854 Reassigns benefits to 4 organizations
I20210324000540 NV Practitioner - Nurse Practitioner 3173950854 Reassigns benefits to 1 organization
I20250606002571 TX Practitioner - Nurse Practitioner 3173950854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1189480TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Dec 20, 2023 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Jul 3, 2024 Accepting new patients
University of California San Francisco CurrentSince Jul 3, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Apr 5, 2025 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Apr 5, 2025 Accepting new patients
University Anesthesia Medical Group CurrentSince Jul 3, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Dec 20, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 3, 2024 Accepting new patients
University of California San Francisco CurrentSince Jul 3, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Usacs Integrated Acute Care Services of Nevada Bagnoli P C CurrentSince Mar 1, 2021 Accepting new patients
Providence Medical Foundation Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients

Locations

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1437612538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SETON PKWY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021092",
            "telephone_number": "510-437-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432204",
            "country_code": "US",
            "telephone_number": "415-476-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Seton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786658000",
            "country_code": "US",
            "telephone_number": "512-324-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-445-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95011464",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "839048",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1189480",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "1189480",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1189480",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NV",
            "license": "839048",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "839048",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95011464",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CA",
            "license": "95011464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.