Individual provider Active NPI

Philip C Bosch, M.D.

  • Urology Physician
  • Escondido, CA
National Provider Identifier
1508845983
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G46782 Issued in CA
Practice address
651 E Pennsylvania Ave
Ste 201
Escondido, CA 92025-3053
Phone
(760) 743-3135
Fax
(760) 743-7424
NPI assigned
Jan 12, 2006
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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 G46782 CA Primary

Addresses

Primary practice location

651 E Pennsylvania Ave
Ste 201
Escondido, CA 92025-3053

Mailing address

651 E Pennsylvania Ave
Ste 201
Escondido, CA 92025-3053
Phone (760) 743-3135

Other identifiers 1

IdentifierTypeStateIssuer
00G467210MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100910001034 CA Practitioner - Urology 2062537269 Practice locations: Escondido, CA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of Ny Upstate Medical University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

651 E Pennsylvania Ave
Escondido, CA 92025-3053
Phone (760) 743-3135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Regents of the University of California CurrentSince Oct 28, 2016 Accepting new patients
Regents of the University of California Urology CurrentSince Oct 28, 2016 Accepting new patients
Palomar Health Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • Direct secure messaging: pbosch80822@scrippshlth.medalliesdirect.net
  • Direct secure messaging: staff.drboschgmail.com@pcbm-ca.direct.office.nextgen.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1508845983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E PENNSYLVANIA AVE",
            "address_2": "STE 201",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253053",
            "telephone_number": "760-743-3135",
            "fax_number": "760-743-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E PENNSYLVANIA AVE",
            "address_2": "STE 201",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253053",
            "telephone_number": "760-743-3135",
            "fax_number": "760-743-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "PHILIP",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G46782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G467210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.