Allan Burton Phillips, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G38170 Issued in CA

Practice address

14724 Ventura Blvd Ste 1000
Sherman Oaks, CA 91403-3510

Phone

(818) 943-5514

Fax

(818) 784-2663

NPI assigned

Oct 17, 2006

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1912088204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14724 VENTURA BLVD STE 1000",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033510",
            "telephone_number": "818-784-7105",
            "fax_number": "818-784-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14724 VENTURA BLVD STE 1000",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033510",
            "telephone_number": "818-943-5514",
            "fax_number": "818-784-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ALLAN",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G38170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Phan
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• Phantom Psychology Group, Inc.
• Pharmpro Network Inc.
• Philip Conwisar MD Inc.
• Phyllis K. Stewart, Licensed Clinical Social Worker
• Physical Medicine Institute
• Pi Urgent MD Inc
• Christopher Pianno, DC
• Pic Homecare Inc

• Psychiatry Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.