Billie Madelyn Phelps, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A26348 Issued in CA

Practice address

2001 Santa Monica Blvd
#855 W
Santa Monica, CA 90404-2171

Phone

(310) 829-7728

Fax

(310) 829-1403

NPI assigned

Nov 16, 2006

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Billie M. Phelps, M.D., Inc.

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1245506393
  NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609949718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "#855 W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042171",
            "telephone_number": "310-829-7728",
            "fax_number": "310-829-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "#855 W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042171",
            "telephone_number": "310-829-7728",
            "fax_number": "310-829-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "BILLIE",
        "middle_name": "MADELYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A26348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmaca Integrative Pharmacy, Inc.
• Pharmacorp, Inc (Brentwood Pharmacy)
• Lori Pharris
• Phase IV
• Mark Dennis Phelan, LMFT
• Philip Barnett, M.D., Inc.
• Philip M Bretsky MD PHD
• Philippe H Lemoine MD Apc
• Albert J. Phillips
• Cheri Phillips, PA-C

• Dermatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatology 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.