Jesse Phelps, PA-C, L.A.C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

51289 Issued in CA

Practice address

535 E Romie LN
Suite 12
Salinas, CA 93901-4026

Phone

(831) 758-6990

Fax

(408) 445-0875

NPI assigned

Feb 6, 2009

Last updated

Mar 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Rehabone Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Salinas, CA
  • NPI 1013460070
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1447499975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E ROMIE LN",
            "address_2": "SUITE 12",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014026",
            "telephone_number": "831-758-6990",
            "fax_number": "408-445-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E ROMIE LN",
            "address_2": "SUITE 12",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014026",
            "telephone_number": "831-758-6990",
            "fax_number": "408-445-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "PA-C, L.A.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51289",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tan Pham, PHARMD
• Dennis Namphong Phan, MD
• Mylan Phan
• Phelps & Associates Physical Therapy
• Craig G Phelps, P.T.
• Philip J Lips, DDS, Inc (TLC Dentistry)
• Ashley Philip
• Charles A Phillips, PA
• Jessica Lola Phillips
• Ryan M Phillips

• Physician Assistant in Salinas, CA
• Providers in Salinas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.