Ronald J. Philipp, D.O. a Prof Corp

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

20A4777 Issued in CA

Legal business name

RONALD J. PHILIPP, D.O. A PROF CORP

Practice address

2255 N Lakewood Blvd
Long Beach, CA 90815-2507

Phone

(562) 498-8000

Fax

(562) 494-8880

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J. Philipp, D.O.NPI 1932120771

Title

Physician/Owner

Phone

(562) 498-8000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Ronald J. Philipp, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Long Beach, CA
  • NPI 1932120771
  Medicare reassignment Care Compare group NPD Authorized official
• Tara Reid, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Long Beach, CA
  • NPI 1982627956
  Medicare reassignment Care Compare group NPD
• Branko S Radisavljevic, M.D.

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1609886571
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1972792729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N LAKEWOOD BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152507",
            "telephone_number": "562-498-8000",
            "fax_number": "562-494-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N LAKEWOOD BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152507",
            "telephone_number": "562-498-8000",
            "fax_number": "562-494-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. PHILIPP, D.O. A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "PHILIPP",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "562-498-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A4777",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A6919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.