Raymond Joe Philips, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

268581 Issued in CA

Practice address

505 S Pacific Ave
Ste 104
San Pedro, CA 90731-2656

Phone

(310) 666-4721

Fax

(310) 751-7002

NPI assigned

Feb 23, 2017

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Philips San Pedro Chiropractic

  • Sports Physician Chiropractor
  • San Pedro, CA
  • NPI 1093249914
  NPD (past)

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1891234829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S PACIFIC AVE",
            "address_2": "STE 104",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312656",
            "telephone_number": "310-666-4721",
            "fax_number": "310-751-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S PACIFIC AVE",
            "address_2": "STE 104",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312656",
            "telephone_number": "310-666-4721",
            "fax_number": "310-751-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "RAYMOND",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "268581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Nicolette Petrich, OTR/L, COEE
• Grace C. Petterson, MD
• Chuong Pham
• Emily Phuong Linh Pham
• Philips San Pedro Chiropractic
• Phillip E Schoenwetter MD , Inc
• Laron E. Phillips, M.D.
• Physical Therapy San Pedro Corp.
• Angel Piper
• Sunshine Piper

• Sports Physician Chiropractor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.