Philip Adrian Andres, NP
Individual provider Active NPI Nurse Practitioner · Daly City, CA
NPI 1932425303 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1932425303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 22938 (CA)
- Practice address
- 1900 Sullivan Ave
Lower Level
Daly City, CA 94015 - Phone
- (415) 680-4135
- NPI assigned
- Apr 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.07 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170501002324 | CA | Practitioner - Nurse Practitioner | 8022396696 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 746599 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCHS Medical Foundation | Current |
Accepting new patients | |
| Verity Medical Foundation | Current |
Accepting new patients | |
| Continuum Care Hospice LLC | Past | Accepting new patients |
Locations
25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056
625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 746599 | CA | |
| Nurse Practitioner | 363L00000X | 22938 | CA | Yes |
Addresses
Primary practice location
1900 Sullivan Ave
Lower Level
Daly City, CA 94015
Mailing address
1900 Sullivan Ave
Lower Level
Daly City, CA 94015
Phone (415) 680-4135
Other providers in Daly City, CA
- Jaquelin Anaya
- Christian Andalon
- Stephen Anderson
- Michelle Andrada
- Destiny Andrade
- Eoin Andrew Garcia
- Elizabeth Andrews
- Anesthesia Care Consultants Inc
- Anesthesia Care Consultants Inc
- Alea Angeja
All providers in Daly City, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.