Kristen Phifer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34451TLG Issued in CA

Practice address

1368 E Walnut St
Pasadena, CA 91106-1528

Phone

(626) 796-3105

NPI assigned

Nov 11, 2019

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wyse Willa Optometry, Inc.

  • Optometrist
  • Pasadena, CA
  • NPI 1770203283
  Medicare reassignment NPD
• Wyse Willa Optometry, Inc.

  • Optometrist
  • Arcadia, CA
  • NPI 1932884731
  NPD

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1922643295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 W MARIPOSA ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061528",
            "telephone_number": "626-796-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIFER",
        "first_name": "KRISTEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34451TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmapain, Inc.
• Pharmedix Inc
• Elizabeth M Phelps
• Emily Kristen Phelps
• Emily Phifer
• Rajiv Philip, MD
• Jenna Philippe
• Phillip S.H. Park DDS.,Inc.
• Sophia A Phillip, FNP
• Katherine Elizabeth Phillips-Rector, LMFT

• Optometrist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.