Phillip W Poth, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C135333 Issued in CA

Practice address

3220 Mission Ave Ste 1
Oceanside, CA 92058-1354

Phone

(760) 736-6767

Fax

(760) 736-8740

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sunrise Medical Group, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Rockville, MD
  • NPI 1336195734
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649370164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 JAMES DRIVE",
            "city": "CARLSBAD",
            "state": "CO",
            "postal_code": "920081956",
            "telephone_number": "240-876-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 MISSION AVE STE 1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581354",
            "telephone_number": "760-736-6767",
            "fax_number": "760-736-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTH",
        "first_name": "PHILLIP",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C135333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408623600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daysi Stephanie Portillo
• Nicole Manuela Portue
• Lacey Campbell Post, PA
• Eve Sacha Poteet, DNP, PMHNP-BC
• Marjorie Almero Potenciano
• Powell Pediatric Therapy
• Benjamin J Powell
• Chantel Rose Powell, OTR/L
• Christina Powell
• Michelle Powers, LMFT

• Internal Medicine Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.