Michael Phillips, CP

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

9253 Hermosa Ave
Ste C
Rancho Cucamonga, CA 91730-5854

Phone

(909) 466-4333

Fax

(909) 466-7040

NPI assigned

Jan 23, 2007

Reactivated

Sep 11, 2012

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Michael B Phillips

  dba Ontario Prosthetic Systems

  • Prosthetics Case Management
  • Rancho Cucamonga, CA
  • NPI 1376709345
  NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1730234709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9253 HERMOSA AVE",
            "address_2": "STE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305318",
            "telephone_number": "909-466-4333",
            "fax_number": "909-466-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9253 HERMOSA AVE",
            "address_2": "STE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305854",
            "telephone_number": "909-466-4333",
            "fax_number": "909-466-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-11-21",
        "deactivation_date": "2008-12-02",
        "reactivation_date": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Phelps
• Adeola Philip-Aimufia
• Sarah Kasham Philips
• Geralyn Marie Phillips, PHD
• Jasmine M Phillips
• Phoenix Physical Therapy and Wellness Inc
• Berlinda Phommalayhane
• Boonma Phommalayvane
• Jenny Phong, PHARMD, RPH
• Breanna Phua, RBT

• Prosthetics Case Management in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.