NPIMap

Organization Active NPI

Michael D Phillips, MD Medical Corporation

  • Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1932445012
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
C32413 Issued in CA
Legal business name
MICHAEL D PHILLIPS, MD MEDICAL CORPORATION
Practice address
2560 W Olympic Blvd
Suite 201
Los Angeles, CA 90006-2998
Phone
(213) 383-0007
Fax
(866) 505-1544
NPI assigned
Dec 18, 2012
Last updated
Apr 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Dr. Michael D Phillips, MD
Title
President
Phone
(310) 701-9497

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C32413 CA
Family Medicine Physician 207Q00000X C32413 CA
Pain Medicine Physician 208VP0000X C32413 CA Primary

Addresses

Primary practice location

2560 W Olympic Blvd
Suite 201
Los Angeles, CA 90006-2998

Mailing address

2560 W Olympic Blvd
Suite 201
Los Angeles, CA 90006-2998
Phone (213) 383-0007

National Provider Directory

National Provider Directory

Locations

11734 Artesia Blvd
Artesia, CA 90701
Phone (562) 809-8669

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1932445012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062998",
            "telephone_number": "213-383-0007",
            "fax_number": "866-505-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062998",
            "telephone_number": "213-383-0007",
            "fax_number": "866-505-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D PHILLIPS, MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-701-9497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C32413",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C32413",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "C32413",
            "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 Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.