Individual provider Active NPI

David Andrew Philips, M.D.

  • Interventional Cardiology Physician
  • Camas, WA
National Provider Identifier
1629040480
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD60899262 Issued in WA
Practice address
1625 SE 192ND Ave Ste 100
Camas, WA 98607-6505
Phone
(360) 487-1965
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27249 MT
Cardiovascular Disease Physician 207RC0000X 21924 NE
Interventional Cardiology Physician 207RI0011X A116515 CA
Interventional Cardiology Physician 207RI0011X MD2008-0665 NM
Interventional Cardiology Physician 207RI0011X 27249 MT
Interventional Cardiology Physician 207RI0011X MD60899262 WA Primary

Addresses

Primary practice location

1625 SE 192ND Ave Ste 100
Camas, WA 98607-6505

Mailing address

2773 Harris St Ste a
Eureka, CA 95503-4866
Phone (707) 442-1182

Other practice location 1

407 S Schwartz Ave Ste 202
Farmington, NM 87401-5925
Phone (505) 609-6770

Other practice location 2

350 Heritage Way
suite 2100
Kalispell, MT 59901
Phone (406) 257-8992

Other practice location 3

168 N Brent St Ste 503
Ventura, CA 93003-2840
Phone (805) 653-0101

Other practice location 4

2773 Harris St Ste A
Eureka, CA 95503-4866
Phone (707) 442-1182

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address dphilips1658158@oc.providencedirect.org
Direct Messaging Address dphilips1658158@oc.providencedirect.org
Direct Messaging Address dphilips1658158@oc.providencedirect.org
Direct Messaging Address dphilips1658158@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA, WA, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190115003459 NM Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325261415 Reassigns benefits to 2 organizations
I20190312001401 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8325261415 Reassigns benefits to 1 organization
I20250831000312 WA Practitioner - Interventional Cardiology 8325261415 Reassigns benefits to 1 organization
I20251029001872 OR Practitioner - Interventional Cardiology 8325261415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Good Samaritan Hospital and Medical CenterGroup PAC ID 0547179939, 190 clinicians
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
San Juan Regional Medical Center, Inc.Group PAC ID 4587559505, 233 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1040 NW 22ND Ave
Suite 660
Portland, OR 97210-3083
Phone (503) 413-7162

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-2500

2773 Harris St
Suite a
Eureka, CA 95503-4866
Phone (707) 267-2070

407 S Schwartz Ave
202 Sjrmc Heart Center
Farmington, NM 87401-5925
Phone (505) 609-6770

4351 E Lohman Ave
Las Cruces, NM 88011-8260

501 N Graham St
Suite 200
Portland, OR 97227-2000
Phone (503) 413-4488

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27249MTMDCardiovascular Disease Physician
21924NEMDCardiovascular Disease Physician
A116515CAMDInterventional Cardiology Physician
MD60899262WAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Aug 18, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Aug 18, 2025 Accepting new patients
Las Cruces Physician Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Nov 4, 2019 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Nov 4, 2019 Accepting new patients
San Juan Regional Medical Center Inc Cardiovascular Disease CurrentSince Dec 11, 2018 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 18, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Aug 18, 2025 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Dec 11, 2018 Accepting new patients
San Juan Regional Medical Center, Inc. Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

1200 Marshall St
Crescent City, CA 95531
Phone (707) 465-1126

2332 23rd St
Eureka, CA 95501
Phone (707) 444-2819

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

3304 Renner Dr
Fortuna, CA 95540
Phone (707) 725-4477

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1625 SE 192nd Ave
Ste 100
Camas, WA 98607
Phone (360) 487-1965

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: dphilips1658158@oc.providencedirect.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 12

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1629040480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 HARRIS ST STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034866",
            "telephone_number": "707-442-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 192ND AVE STE 100",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986076505",
            "telephone_number": "360-487-1965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 S Schwartz Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015925",
            "country_code": "US",
            "telephone_number": "505-609-6770",
            "fax_number": "505-609-6775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Heritage Way",
            "address_2": "suite 2100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "59901",
            "country_code": "US",
            "telephone_number": "406-257-8992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 N Brent St Ste 503",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032840",
            "country_code": "US",
            "telephone_number": "805-653-0101",
            "fax_number": "805-641-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2773 Harris St Ste A",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955034866",
            "country_code": "US",
            "telephone_number": "707-442-1182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "27249",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "21924",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A116515",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "MD2008-0665",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "27249",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD60899262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dphilips1658158@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1200 Marshall St",
            "city": "Crescent City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955312217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dphilips1658158@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2773 Harris St Ste A",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dphilips1658158@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2332 23rd St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955013231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dphilips1658158@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3304 Renner Dr",
            "city": "Fortuna",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955407102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.