Gary W Phipps

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20385 Issued in CA

Practice address

459 Glass LN Ste A4
Modesto, CA 95356-9253

Phone

(209) 525-8400

Fax

(209) 869-4071

NPI assigned

Jul 23, 2009

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1801026950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 GLASS LN",
            "address_2": "STE 4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569253",
            "telephone_number": "209-525-8400",
            "fax_number": "209-869-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 GLASS LN STE A4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569253",
            "telephone_number": "209-525-8400",
            "fax_number": "209-869-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "GARY",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erendira Ines Phillips
• John Mark Phillips, RN
• Khyla LJ Phillips
• Linda Sue Phillips, PA-C
• Shawna Phillips, SAC
• Amanda Phitsamay
• Jasmine Phol
• Physicians Surgery Center of Modesto LLC
• Nicole Picciotto, MD
• Martha Pichardo Lopez

• Durable Medical Equipment & Medical Supplies in Modesto, CA
• Providers in Modesto, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.