Phillip Fleshner MD, Inc.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

PHILLIP FLESHNER MD, INC.

Practice address

8737 Beverly Blvd #101
Los Angeles, CA 90048-1835

Phone

(310) 289-9224

Fax

(310) 289-8995

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Phillip Fleshner, MDNPI 1881695286

Title

President

Phone

(310) 289-9224

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.

• Phillip Robert Fleshner, MD

  • Colon & Rectal Surgery Physician
  • Los Angeles, CA
  • NPI 1881695286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1801551387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD #101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481835",
            "telephone_number": "310-289-9224",
            "fax_number": "310-289-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD #101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481835",
            "telephone_number": "310-289-9224",
            "fax_number": "310-289-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP FLESHNER MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "FLESHNER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-289-9224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phillip Musikanth MD Inc
• Phillip Ruiz, Latina Medical Clinic, Inc.

• Colon & Rectal Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.