Active NPI
Philip G Brooks, MD
- Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1922019819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A19096
- Practice address
- 8631 W 3Rd St
Suite 510E
Los Angeles, CA 90048-5901 - Phone
- (310) 278-1490
- Fax
- (310) 659-3049
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A19096 | CA | |
| Gynecology Physician | 207VG0400X | A19096 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St
Suite 510E
Los Angeles, CA 90048-5901
Mailing address
8631 W 3Rd St
Suite 510E
Los Angeles, CA 90048-5901
Phone (310) 278-1490
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- pbrooks102398@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1922019819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE 510E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-278-1490",
"fax_number": "310-659-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE 510E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-278-1490",
"fax_number": "310-659-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "PHILIP",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A19096",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A19096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.