Individual provider Active NPI

Lyndon BB Junio Phillips

  • Occupational Therapy Assistant
  • Clovis, CA
National Provider Identifier
1902740434
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
7267 Issued in CA
Practice address
2660 Alamos Ave
Clovis, CA 93611-5032
Phone
(559) 330-8295
NPI assigned
Apr 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7267 CA Primary

Addresses

Primary practice location

2660 Alamos Ave
Clovis, CA 93611-5032

Mailing address

2660 Alamos Ave
Clovis, CA 93611-5032
Phone (559) 330-8295

Other names 1

  • Lyndon Phillips Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1902740434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 ALAMOS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115032",
            "telephone_number": "559-330-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 ALAMOS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115032",
            "telephone_number": "559-330-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LYNDON BB",
        "middle_name": "JUNIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "7267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDON",
            "last_name": "PHILLIPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.