Active NPI
Lornie James Phillips II, MD
- Surgery Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A91829
- Practice address
- 1411 E 31St St
Qic 22134
Oakland, CA 94602-1018 - Phone
- (510) 437-4089
- Fax
- (510) 437-5017
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A91829 | CA | Primary |
Addresses
Primary practice location
1411 E 31St St
Qic 22134
Oakland, CA 94602-1018
Mailing address
1411 E 31St St
Qic 22134
Oakland, CA 94602-1018
Phone (510) 437-4089
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000621 | CA | Practitioner - General Surgery | 9133243389 | Practice locations: Castro Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19845 Lake Chabot Rd
Suite 200
Castro Valley, CA 94546-4055
Phone (510) 538-5500
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 390-4028
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91829 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lornie Phillips Inc | Surgery | Current | Accepting new patients |
| Trauma and Acute Care Surgery Specialists Inc | Surgery | Current | Accepting new patients |
| Doctors Medical Surgical Associates | Past | Accepting new patients | |
| UCSF | Past | Accepting new patients |
Locations
19845 Lake Chabot Rd
Ste 200
Castro Valley, CA 94546
Phone (510) 538-4500
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
Interoperability endpoints
- lphillips141773@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Castro Valley, CA
- NPI 1457203473
-
- Surgery Physician
- Castro Valley, CA
- NPI 1639930647
-
- Specialist
- Castro Valley, CA
- NPI 1568696987
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1598094872
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1548420201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"address_2": "QIC 22134",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021018",
"telephone_number": "510-437-4089",
"fax_number": "510-437-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"address_2": "QIC 22134",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021018",
"telephone_number": "510-437-4089",
"fax_number": "510-437-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LORNIE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A91829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.