Active NPI
Philip J Penrose M D a Professional Corporation
- Ophthalmology Physician
- Monterey, CA
National Provider Identifier
1629287750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A78833
- Legal business name
- PHILIP J PENROSE M D A PROFESSIONAL CORPORATION
- Practice address
- 21 Upper Ragsdale Dr
200
Monterey, CA 93940-7831 - Phone
- (831) 372-1500
- Fax
- (831) 655-6493
- NPI assigned
- May 22, 2007
- Last updated
- Apr 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip J Penrose, M.D.
- Title
- Owner
- Phone
- (831) 372-1500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A78833 | CA | Primary |
Addresses
Primary practice location
21 Upper Ragsdale Dr
200
Monterey, CA 93940-7831
Mailing address
21 Upper Ragsdale Dr
200
Monterey, CA 93940-7831
Phone (831) 372-1500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Monterey, CA
- NPI 1245288547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1629287750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 UPPER RAGSDALE DR",
"address_2": "200",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407831",
"telephone_number": "831-372-1500",
"fax_number": "831-655-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 UPPER RAGSDALE DR",
"address_2": "200",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407831",
"telephone_number": "831-372-1500",
"fax_number": "831-655-6493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP J PENROSE M D A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "PENROSE",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "831-372-1500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A78833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
- Hoang-Tuan K Pham, DO
- Joanna Ha Pham
- Pharmaca Integrative Pharmacy, Inc. (Pharmaca Integrative Pharmacy)
- Philip B Bhaskar DMD a Professional Corporation (Monterey Oral Surgery Dental Group)
- Philip Bhaskar DMD & Perry Silva DDS MD Oral & Maxillofacial Surgery
- Ashley Elizabeth Jeffries Phillips, LPCC
- Jared Phillips, LPCC, NCC
- Jeanne Vesey Phillips, MD
- Physiotherapy Associates, Inc.
- Maegen Christine Pierce, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.