Philomena Physician Assistant Services Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PHILOMENA PHYSICIAN ASSISTANT SERVICES INC

Practice address

3709 Lemon Ave
Long Beach, CA 90807-4115

Phone

(610) 739-9606

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Antoinette P Burke, PA-CNPI 1982078531

Title

Ceo

Phone

(610) 739-9606

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antoinette P Burke, PA-C, RD, CNSC

  • Physician Assistant
  • Long Beach, CA
  • NPI 1982078531

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1639980089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 LEMON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074115",
            "telephone_number": "610-739-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 LEMON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074115",
            "telephone_number": "610-739-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILOMENA PHYSICIAN ASSISTANT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-739-9606",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Phillips, RDN, PA-C
• Kiona Danielle Phillips
• Natasha Melanie Phillips, LCSW
• Phil G Phillips
• Travis Shawn Phillips
• Phnom Pich Pharmacy Inc
• Phnom Pich Pharmacy Inc
• Nancy Phon
• Danny Phu, M.D.
• Elaine Phu, RD

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.