Active NPI
Melinda Wood Phillips, M.D.
- Internal Medicine Physician
- Rosemead, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A96962
- Practice address
- 4619 Rosemead Blvd
Rosemead, CA 91770-1478 - Phone
- (626) 286-1191
- NPI assigned
- Jun 27, 2007
- Last updated
- Jun 15, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A96962 | CA | Primary |
| Pediatrics Physician | 208000000X | A96962 | CA |
Addresses
Primary practice location
4619 Rosemead Blvd
Rosemead, CA 91770-1478
Mailing address
PO Box 1849
Suite 245
Monrovia, CA 91017-5849
Phone (626) 408-5927
Other practice location 1
5353 G St
Chino, CA 91710-5249
Phone (909) 590-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FK202X | Other | CA | MEDICARE PIN NORTHERN |
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
- Internal Medicine
- Education
- University of Southern California Keck School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
517 S Myrtle Ave
Suite 101
Monrovia, CA 91016-6100
Phone (628) 408-5927
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Specialist & Nursing Corporation | Current | Accepting new patients | |
| Cindy Alberts Carson MD Inc | Internal Medicine | Past | Accepting new patients |
| The Huntington Medical Foundation | Internal Medicine | Past | Accepting new patients |
Locations
5353 G St
Chino, CA 91710
Phone (626) 335-1919
517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322
4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191
4619 Rosemead Blvd
#M
Rosemead, CA 91770
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Monrovia, CA
- NPI 1912378324
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1538490107
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1639225048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1689871386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"address_2": "SUITE 245",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910175849",
"telephone_number": "626-408-5927",
"fax_number": "626-358-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 ROSEMEAD BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701478",
"telephone_number": "626-286-1191"
}
],
"practiceLocations": [
{
"address_1": "5353 G St",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917105249",
"country_code": "US",
"telephone_number": "909-590-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MELINDA",
"middle_name": "WOOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A96962",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A96962",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN NORTHERN",
"identifier": "FK202X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.