NPIMap

Organization Active NPI

Phoenix Medical Group Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ontario, CA
National Provider Identifier
1669747150
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PHOENIX MEDICAL GROUP INC
Practice address
4355 E Airport Dr
Suite 100
Ontario, CA 91761-7812
Phone
(818) 701-1800
Fax
(818) 885-1171
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Ms. Wendy Morley
Title
Biller
Phone
(818) 701-1800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CA
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X CA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CA

Addresses

Primary practice location

4355 E Airport Dr
Suite 100
Ontario, CA 91761-7812

Mailing address

4355 E Airport Dr
Suite 100
Ontario, CA 91761-7812
Phone (818) 701-1800

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Medical Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1669747150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 E AIRPORT DR",
            "address_2": "SUITE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617812",
            "telephone_number": "818-701-1800",
            "fax_number": "818-885-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 E AIRPORT DR",
            "address_2": "SUITE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617812",
            "telephone_number": "818-701-1800",
            "fax_number": "818-885-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "MORLEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "818-701-1800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.