NPIMap

Individual provider Active NPI

Jeffrey L Phillips, MD

  • Neurology Physician
  • Yuba City, CA
National Provider Identifier
1841362647
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G64950 Issued in CA
Practice address
367 Del Norte Ave
Suite 4
Yuba City, CA 95991
Phone
(530) 751-9604
Fax
(530) 751-9531
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G64950 CA Primary

Addresses

Primary practice location

367 Del Norte Ave
Suite 4
Yuba City, CA 95991

Mailing address

367 Del Norte Ave
Suite 4
Yuba City, CA 95991-4116
Phone (530) 751-9604

Other identifiers 1

IdentifierTypeStateIssuer
00G649500MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000387 CA Practitioner - NeurologyPractitioner - Surgical Oncology 5890682629 Reassigns benefits to 2 organizations
Practice locations: Yuba City, CA

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Surgical Oncology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Glenn Medical Center, IncGroup PAC ID 3870505035, 13 clinicians
Glenn Medical Center, LLCGroup PAC ID 4486050838, 13 clinicians

Practice addresses (Care Compare)

1133 W Sycamore St
Willows, CA 95988-2601
Phone (530) 934-1881

367 Del Norte Ave
Suite 4
Yuba City, CA 95991-4116
Phone (530) 751-9604

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Enloe Health Hospital, Chico, CA, CCN 050039

National Provider Directory

National Provider Directory
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.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G64950CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC CurrentSince Feb 11, 2023 Accepting new patients
Glenn Medical Center, LLC Current Accepting new patients
North Valley Neurological Associates Inc. Neurology PastSince Apr 30, 2003 Accepting new patients
Colusa Medical Center, LLC Past Accepting new patients
Glenn Medical Center, LLC Past Accepting new patients
Rideout Memorial Hospital Past Accepting new patients

Locations

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

Interoperability endpoints

  • Direct secure messaging: jeffery.phillips.1@27779.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1841362647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 DEL NORTE AVE",
            "address_2": "SUITE 4",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914116",
            "telephone_number": "530-751-9604",
            "fax_number": "530-751-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 DEL NORTE AVE",
            "address_2": "SUITE 4",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-751-9604",
            "fax_number": "530-751-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G64950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G649500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.