Active NPI
Phillips Healthcare a Nurse Practitioner Led Nursing Corporation
- Family Medicine Physician
- Bakersfield, CA
National Provider Identifier
1669069597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHILLIPS HEALTHCARE A NURSE PRACTITIONER LED NURSING CORPORATION
- Practice address
- 331 S H St
Bakersfield, CA 93304-3403 - Phone
- (661) 407-2360
- NPI assigned
- Dec 27, 2020
- Last updated
- Dec 27, 2020
- 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
- Beneece J Davis-Phillips, MD
- Title
- Owner
- Phone
- (661) 565-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
331 S H St
Bakersfield, CA 93304-3403
Mailing address
331 S H St
Bakersfield, CA 93304-3403
Phone (661) 407-2360
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/23368/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609027200000",
"number": "1669069597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 S H ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933043403",
"telephone_number": "661-407-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S H ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933043403",
"telephone_number": "661-407-2360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS HEALTHCARE A NURSE PRACTITIONER LED NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-27",
"last_updated": "2020-12-27",
"certification_date": "2020-12-23",
"status": "A",
"authorized_official_last_name": "DAVIS-PHILLIPS",
"authorized_official_first_name": "BENEECE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-565-4700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.