Philnln, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A47889 Issued in CA

Legal business name

PHILNLN, INC.

Practice address

7619 Morro Rd
Atascadero, CA 93422-4433

Phone

(805) 461-9192

Fax

(805) 461-5802

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Philip Joseph Citek, MD

Title

Authorized Official

Phone

(805) 909-0612

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Louise Yankauskas, MD MPH

  • Family Medicine Physician
  • Atascadero, CA
  • NPI 1881794816
  NPD

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1932656337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SANTA ROSA ST",
            "address_2": "STE 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055825",
            "telephone_number": "805-786-4878",
            "fax_number": "805-597-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224433",
            "telephone_number": "805-461-9192",
            "fax_number": "805-461-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILNLN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "CITEK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "805-909-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44775",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A47889",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A47889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A47889",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Lewis Peterson
• Scott Gregory Peterson, D.D.S.
• Marcielle Pfeifer
• Carolyn Thuy Sen Pham, DOCTOR OF PHARMACY
• Philnln, Inc
• Susan Pido, MD
• Melissa Grace Pirkle, M.A., CCC-SLP
• James Rafael Pitts, M.D.
• Amy Michelle Plewinski, PSY.D
• Bruce D Poist, RPH

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.