Philip E Madrid, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A45165 Issued in CA

Practice address

2501 E Chapman Ave
Suite 203
Orange, CA 92869-3223

Phone

(714) 628-3340

Fax

(714) 633-7349

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pmadrid1373698@oc.providencedirect.org

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)
• Queen of the Valley Medical Association

  dba St Joseph Heritage Health System

  • Gynecology Physician
  • Napa, CA
  • NPI 1649260126
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578523692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693223",
            "telephone_number": "714-628-3340",
            "fax_number": "714-633-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693223",
            "telephone_number": "714-628-3340",
            "fax_number": "714-633-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "PHILIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A45165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhu Katakia MD Inc (RAMS Wellness Clinic)
• Ashley Nicole Madrid, CRNA
• Hannah Rose Madrid
• Jennifer Samantha Madrid
• Kailee Madrid
• Caroline Madrigal-Gonzalez
• Salvador Madrigal
• Brandon Lee Madsen-Mesa
• Ivy-Joan Erinma Madu, M.D.
• Jeffrey Maeda, PHARMD.

• Adult Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.