Philip A Edington, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G58380 Issued in CA

Practice address

1899 W March LN
Stockton, CA 95207-6402

Phone

(209) 623-4700

Fax

(209) 948-9321

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Sight of Stockton a Medical CorporationGroup PAC ID 2264499037, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.32 of 100Reported as group

Quality

86.51

Improvement activities

40

Cost

79.05

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pedington16089@hpmg.direct-ci.net

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.

• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Modesto, CA
  • NPI 1962426643
  Medicare reassignment Care Compare group NPD Authorized official
• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Stockton, CA
  • NPI 1326062084
  NPD Authorized official
• Central Stockton Medical Clinic

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1932148343
  NPD (past) Authorized official
• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Tracy, CA
  • NPI 1114941796
  NPD

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1508837279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST",
            "address_2": "SUITE 101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046037",
            "telephone_number": "209-948-5515",
            "fax_number": "209-948-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 W MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076402",
            "telephone_number": "209-623-4700",
            "fax_number": "209-948-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGTON",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G58380",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G58380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G583800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Edet
• Elisabeth Kaye Edgar
• Jimmy Edgeworth
• Elizabeth Cabarrabang Edica
• Edington Medical Evaluations
• Edith Mora DMD, Inc.
• Karen Lynette Edmond
• Edmund Yao MD Inc
• Edward C Greenleaf (Radiation Oncology Medical Associates)
• Edward Schneider MD Inc

• Specialist in Stockton, CA
• Providers in Stockton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.