Phoenix Diagnostic Medical Group, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G29768 Issued in CA

Legal business name

PHOENIX DIAGNOSTIC MEDICAL GROUP, INC.

Practice address

20301 Ventura Blvd Ste 105
Woodland Hills, CA 91364-2447

Phone

(310) 871-3434

NPI assigned

Apr 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Steven Kaye, M.D.

Title

Owner

Phone

(310) 871-3434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1639494206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22361 PACIFIC COAST HWY # 441",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654879",
            "telephone_number": "310-871-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD STE 105",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642447",
            "telephone_number": "310-871-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX DIAGNOSTIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "KAYE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-871-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G29768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chonnie Leaette Phillips
• Jacqueline F Phillips, NP
• Stephon Phillips
• Troy Phipps, PHARM.D.
• Xavier Emry Phipps
• Physical Therapy & Sports Medicine
• Physicians Consulting Resources Co
• Physicians Favorite Home Health
• Iwona Piekos, PT
• Labrietta Pierce, RADT

• Physical Medicine & Rehabilitation Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.