Individual provider Active NPI

Phyllis H Klein, M.D.

  • Hematology & Oncology Physician
  • West Covina, CA
National Provider Identifier
1932166519
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G23172 Issued in CA
Practice address
1250 S Sunset Ave Ste 303
West Covina, CA 91790-3912
Phone
(626) 856-5858
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD198279 OR
Hematology & Oncology Physician 207RH0003X G23172 CA Primary

Addresses

Primary practice location

1250 S Sunset Ave Ste 303
West Covina, CA 91790-3912

Mailing address

1333 S Mayflower Ave
2ND Floor
Monrovia, CA 91016-4066
Phone (626) 775-3514

Other practice location 1

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 775-3514

Other practice location 2

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone (541) 274-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091009000340 CA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 5799821450 Reassigns benefits to 1 organization
Practice locations: Covina, CA
I20171207000326 NY Practitioner - Hematology/Oncology 5799821450 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G23172CAMDHematology & Oncology Physician
23172CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Aug 8, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 7, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 7, 2017 Accepting new patients
Guthrie Medical Group, P.C. Hematology & Oncology CurrentSince Aug 8, 2022 Accepting new patients
Dignity Health CurrentSince Oct 1, 2018 Accepting new patients
California Cancer Specialists Medical Group Inc Hematology & Oncology PastSince May 17, 2020 Accepting new patients

Locations

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

2 Guthrie Dr
Corning, NY 14830
Phone (607) 937-3100

321 E Albany St
Herkimer, NY 13350
Phone (315) 867-2700

Interoperability endpoints

  • Direct secure messaging: pklein180103@direct-guthrie.org
  • Direct secure messaging: pklein389976@wm.providencedirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1932166519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S MAYFLOWER AVE",
            "address_2": "2ND FLOOR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164066",
            "telephone_number": "626-775-3514",
            "fax_number": "626-408-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE STE 303",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903912",
            "telephone_number": "626-856-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 DUARTE RD",
            "address_purpose": "LOCATION",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103012",
            "country_code": "US",
            "telephone_number": "626-775-3514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2610 Uhrmann Rd",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011123",
            "country_code": "US",
            "telephone_number": "541-274-4171",
            "fax_number": "541-274-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "PHYLLIS",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD198279",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G23172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.