Philip G Khoury DO Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

20A14690 Issued in CA

Legal business name

PHILIP G KHOURY DO INC

Practice address

3850 Riverlakes Dr Ste B
Bakersfield, CA 93312-6662

Phone

(661) 241-9330

Fax

(661) 402-3540

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Philip Khoury, DONPI 1083926232

Title

Ceo

Phone

(661) 241-9330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Philip Khoury, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Bakersfield, CA
  • NPI 1083926232
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1669909941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 RIVERLAKES DR STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126662",
            "telephone_number": "666-241-9330",
            "fax_number": "666-402-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 RIVERLAKES DR STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126662",
            "telephone_number": "661-241-9330",
            "fax_number": "661-402-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Riverlakes Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933126662",
            "country_code": "US",
            "telephone_number": "661-241-9330",
            "fax_number": "661-402-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILIP G KHOURY DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-241-9330",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A14690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Phelan
• Heather Marie Phelps, FNP-C
• Josh Phelps
• Thomas Robert Phelps, M.D.
• Phi Huynh and Bryan Watanabe Dental Corporation
• Philip Rosenthal MD PC
• Phillips Healthcare a Nurse Practitioner Led Nursing Corporation
• Allan Vol Phillips
• Brian Phillips, MSW
• Charles Vincent Phillips, M.D.

• Pain Medicine (Anesthesiology) Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.