Organization Active NPI

Philip Ryan M Camilon, MD

  • Otolaryngology Physician
  • Orange, CA
National Provider Identifier
1962013870
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PHILIP RYAN M CAMILON, MD
Practice address
505 S Main St Ste 275
Orange, CA 92868-4547
Phone
(714) 836-6607
Fax
(714) 836-6600
NPI assigned
Aug 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Philip Ryan Molarte Camilon, MDNPI 1285049510
Title
Ceo
Phone
(714) 900-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary
Pediatric Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YP0228X

Addresses

Primary practice location

505 S Main St Ste 275
Orange, CA 92868-4547

Mailing address

505 S Main St Ste 275
Orange, CA 92868-4547
Phone (714) 836-6607

National Provider Directory

National Provider Directory

Locations

505 S Main St
Ste 275
Orange, CA 92868
Phone (714) 836-6607

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1962013870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 275",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684547",
            "telephone_number": "714-836-6607",
            "fax_number": "714-836-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 275",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684547",
            "telephone_number": "714-836-6607",
            "fax_number": "714-836-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP RYAN M CAMILON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "CAMILON",
        "authorized_official_first_name": "PHILIP RYAN",
        "authorized_official_middle_name": "MOLARTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-900-1117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.