DR. PHILLIP GORDON MCKINLEY (NPI# 1033390463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033390463 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP GORDON MCKINLEY |
| Credential | M.D. |
| Practice Address |
5219 Reynier Ave Los Angeles CA 90056-1018 |
| Practice Telephone | 3104100190 |
| Mailing Telephone | 3104100190 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2013-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G80553 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | G80553 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | G80553 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053474833 | Phillip Mckinley | Ophthalmology | 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 | 2006-12-19 |
| Street Address |
5219 REYNIER AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90056-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588026 | Miriam Gutierrez | Psychologist | 5110 W. Goldleaf Circle, Los Angeles, CA 90056 | 2008-08-25 |
| 1699800136 | Burl Roddy Moore | Social Worker | 5317 Corning Ave., Los Angeles, CA 90056 | 2007-02-23 |
| 1821462722 | Daniela Covel Zanich | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2015-11-16 |
| 1467652727 | Melissa Lowry Tran | Marriage & Family Therapist | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2007-07-24 |
| 1821204058 | Thc - Orange County, LLC | General Practice | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2007-05-15 |
| 1447335146 | Thc - Orange County, LLC | Long Term Care Hospital | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2006-10-25 |
| 1508852518 | William Robert Reeve | Pharmacist | 5231 Senford Ave, Los Angeles, CA 90056-1024 | 2005-09-25 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| 1952363012 | Glenview Pathology Medical Group | Pathology | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2006-04-04 |
| 1417450461 | Natalie Meyer | Pharmacist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2018-03-16 |
| Find all providers in zip 90056 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558717983 | James Marvel | Emergency Medicine | 1520 Rodney Dr Apt 411, Los Angeles, CA 90027-5327 | 2016-05-04 |
| 1871956359 | Gregory Elbert Tong | Emergency Medicine | 942 Westwood Boulevard, Suite 300, Los Angeles, CA 90024 | 2016-04-01 |
| 1073979704 | Erik Akopian | Emergency Medicine | 1200 N State St Ste Ct-a7d, Los Angeles, CA 90033-1029 | 2016-01-11 |
| 1043685969 | Abraham Flinders | Emergency Medicine | 1021 N Bonnie Brae St, Los Angeles, CA 90026-3110 | 2015-12-03 |
| 1164892501 | Benjamin Musser | Emergency Medicine | 1957 Preston Ave, Los Angeles, CA 90026-1827 | 2015-09-28 |
| 1295138022 | Brian Raffetto | Emergency Medicine | 1200 N State St Rm A7d, Los Angeles, CA 90033-1029 | 2014-10-07 |
| 1427450691 | Ariel Justine Bowman | Emergency Medicine | 1200 N. State Street, Ct-room A7d, Los Angeles, CA 90033 | 2014-09-19 |
| 1093150476 | Sushil Jain | Emergency Medicine | 6041 Cadillac Ave Dept Of, Los Angeles, CA 90034-1702 | 2013-04-30 |
| 1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
| 1114260858 | Catherine Marie Weaver | Emergency Medicine | 757 Westwood Plz Ste 1517, Los Angeles, CA 90095-8358 | 2013-04-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90056 |
Please comment or provide details below to improve the information on DR. PHILLIP GORDON MCKINLEY.
| 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.