Active NPI
Christopher Glenn Phillips, MD
- Emergency Medicine Physician
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A183265
- Practice address
- 320 Santa Fe Dr
Encinitas, CA 92024-5138 - Phone
- (858) 227-6894
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | A183265 | CA | Primary |
Addresses
Primary practice location
320 Santa Fe Dr
Encinitas, CA 92024-5138
Mailing address
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 633-6507
Other practice location 1
2205 Vista Way
Oceanside, CA 92054-5661
Phone (760) 704-5630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2205 Vista Way
Oceanside, CA 92054-5661
Phone (858) 554-9100
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362
Hospital & facility affiliations
- Scripps Memorial Hospital - Encinitas
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A183265 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Emergency Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Encinitas Emergency Medicine, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Encinitas, CA
- NPI 1598362568
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1679100457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 SANTA FE DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245142",
"telephone_number": "760-633-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SANTA FE DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "858-227-6894"
}
],
"practiceLocations": [
{
"address_1": "2205 Vista Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920545661",
"country_code": "US",
"telephone_number": "760-704-5630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CHRISTOPHER",
"middle_name": "GLENN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A183265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.