GORDON D PHILLIPS (NPI# 1033158670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033158670 |
| Entity Type | Individual |
| Full Name | GORDON D PHILLIPS |
| Credential | M.D. |
| Practice Address |
2 W Fern Ave Redlands CA 92373-5916 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097933311 |
| Practice Fax Number | 9097932916 |
| Mailing Telephone | 9097933311 |
| Mailing Fax Number | 9097932916 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G54853 | CA | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
G58853 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G548530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143125 | Gordon Phillips Iv | Family Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2019-06-18 |
| 1184821415 | Gordon Phillips | Surgery | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2007-06-29 |
| 1548288210 | Gordon L Phillips | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2006-07-18 |
| Street Address |
2 W FERN AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962802 | Sue Allison Field | Anesthesiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2005-06-14 |
| 1114535044 | Jose Lopez | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-07-16 |
| 1275158305 | Carley Marie Anderson | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-06-15 |
| 1194387373 | Timothy Michael Taylor | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2019-07-08 |
| 1083180392 | Janet Cantada | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-10-15 |
| 1821579335 | Jacqueline Hae Yun Evans | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-08-22 |
| 1063907152 | Kristen Nicole Chaves | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-06-29 |
| 1154823177 | Angela Joan Flores | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-03-06 |
| 1619482718 | Agnes Arorong Esteva | Hospitalist | 2 W Fern Ave, Redlands, CA 92373 | 2017-12-12 |
| 1578075867 | Lisa Gilbert | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312538 | Lavon Ann Nolan | Preventive Medicine | 800 E Lugonia Ave, Suite F, Redlands, CA 92374-2550 | 2005-08-09 |
| 1750825295 | Tanya Audrey Margaret Deporto | Preventive Medicine | 26001 Redlands Blvd, Redlands, CA 92373-7762 | 2016-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592126 | Best Healthcare Access | Preventive Medicine | 3218 E Holt Ave Ste 201a, West Covina, CA 91791-2310 | 2020-09-11 |
| 1134739642 | Wellcentrex LLC | Preventive Medicine | 4590 Macarthur Blvd Ste 500, Newport Beach, CA 92660-2028 | 2020-08-10 |
| 1548870926 | Sofia Lucha Robles Castillo | Preventive Medicine | 9616 Micron Ave Ste 670, Sacramento, CA 95827-2699 | 2020-07-31 |
| 1972124485 | Douglas L Hatch | Preventive Medicine | 680 Talbot Ave, Pacifica, CA 94044-2650 | 2020-05-06 |
| 1154959138 | Jaime Renee Reise | Preventive Medicine | 8358 Santa Monica Blvd, West Hollywood, CA 90069-4313 | 2020-03-27 |
| 1861024515 | Another Way 2 LLC | Preventive Medicine | 3840 Lemon St, Riverside, CA 92501-3693 | 2020-02-11 |
| 1275186793 | Thinknetic Medical Corporation | Preventive Medicine | 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 | 2019-07-23 |
| 1396306650 | Ankush Raj Gaur | Preventive Medicine | 21303 Oakriver Ln, Newhall, CA 91321-4679 | 2019-06-26 |
| 1982167565 | Kristina Deguzman | Preventive Medicine | 9616 Micron Ave Ste 970, Sacramento, CA 95827-2627 | 2019-04-10 |
| 1760940902 | Taby Corp. | Preventive Medicine | 73710 Alessandro Dr Ste A1, Palm Desert, CA 92260-3638 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.