Philip Ebersole M D Family Practice Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C431720 Issued in CA

Legal business name

PHILIP EBERSOLE M D FAMILY PRACTICE PROFESSIONAL CORPORATION

Practice address

25405 Hancock Ave
Suite 204
Murrieta, CA 92562-5982

Phone

(951) 894-6868

Fax

(951) 894-6860

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Eva Maria Ebersole

Title

Office Manager

Phone

(951) 894-6868

Specialties & licenses 1

Addresses

Other names 1

• Philip Ebersole M D Family Practice Doing business as

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566691200000",
    "number": "1669575718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD STE D406-145",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913215",
            "telephone_number": "951-894-6868",
            "fax_number": "951-894-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25405 HANCOCK AVE",
            "address_2": "SUITE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625982",
            "telephone_number": "951-894-6868",
            "fax_number": "951-894-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP EBERSOLE M D FAMILY PRACTICE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-08-25",
        "status": "A",
        "authorized_official_last_name": "EBERSOLE",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-894-6868",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C431720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip Ebersole M D Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Philip Ebersole M D Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Long N Phan, DMD
• Megan Phan
• Michael Long Phan
• Erica Victoria-Rae Pharris
• Paul R Phelps, M.D.
• Phillip J. Ortiz, a Dental Corporation
• Christopher Michael Phillips
• Lily Y. Phillips, MD
• Meghan Ann Phillips
• Raquel Phillips

• Family Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2019; 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.