Active NPI
Arthur Phillips, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1972656510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G81848
- Practice address
- 11665 Avena PL
Suite 108
San Diego, CA 92128-2421 - Phone
- (858) 551-7050
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G81848 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 099086 | NY |
Addresses
Primary practice location
11665 Avena PL
Suite 108
San Diego, CA 92128-2421
Mailing address
11665 Avena PL
Suite 108
San Diego, CA 92128-2421
Phone (858) 551-7050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099086 | Other | NY | MEDICAL LICENSE |
| G81848 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 12, 2014 through Oct 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099086 | NY | MD | Clinical Social Worker |
| 81848 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220140800000",
"number": "1972656510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11665 AVENA PL",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282421",
"telephone_number": "858-551-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11665 AVENA PL",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282421",
"telephone_number": "858-551-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2008-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G81848",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "099086",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "099086",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G81848",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.