DR. IRVING JAMES PHILLIPS (NPI# 1457707929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457707929 |
| Entity Type | Individual |
| Full Name | DR. IRVING JAMES PHILLIPS |
| Credential | M.D. |
| Practice Address |
2051 John Jones Rd Davis CA 95616-9701 |
| Practice Telephone | 2527442335 |
| Practice Fax Number | 2527443811 |
| Mailing Telephone | 5307582060 |
| Mailing Fax Number | 3075884905 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A167811 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326113093 | Irving Mace Phillips Jr. | Dentist | 400 Dutchmans Ln, Easton, MD 21601-3312 | 2006-11-21 |
| Street Address |
2051 JOHN JONES RD |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366823 | Communicare Health Centers | Clinic/Center | 2051 John Jones Rd, Davis, CA 95616-9701 | 2005-06-14 |
| 1093314601 | Gloria Aimee Gonzalez | Advanced Practice Midwife | 2051 John Jones Rd, Davis, CA 95616-9701 | 2020-10-23 |
| 1861028011 | Anne Elizabeth Seiler | Midwife | 2051 John Jones Rd, Davis, CA 95616-9701 | 2020-03-19 |
| 1841835766 | Michaela Marie Lambert | Nurse Practitioner | 2051 John Jones Rd, Davis, CA 95616-9701 | 2019-11-14 |
| 1467918680 | Jane Riccobono | Nurse Practitioner | 2051 John Jones Rd, Davis, CA 95616-9701 | 2019-02-12 |
| 1427557131 | Meghann Crane-russ | Social Worker | 2051 John Jones Rd, Davis, CA 95616-9701 | 2018-02-08 |
| 1447763867 | Rachel Ely | Advanced Practice Midwife | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-11-07 |
| 1316475247 | Monica Yeo | Dentist | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-05-23 |
| 1831624410 | Isha Kaur Mayall | Student in an Organized Health Care Education/Training Program | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-04-20 |
| 1760914642 | Ian Kim | Family Medicine | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467874347 | Wanda Mary Wenman | Pediatrics | 1325 Brown Dr, Davis, CA 95616-0801 | 2014-01-13 |
| 1073956512 | Heather Overman | Pediatrics | 2020 Sutter Pl Ste 201, Davis, CA 95616 | 2013-04-15 |
| 1932306875 | Cheryll Anne Clark | Pediatrics | 2660 W Covell Blvd Ste B, Davis, CA 95616-5645 | 2007-07-02 |
| 1144308842 | Lyn Taylor | Pediatrics | 2040 Sutter Place, Davis, CA 95616 | 2006-11-01 |
| 1457451494 | Paula A Watts-white | Pediatrics | 635 Anderson Rd Ste 12a, Davis, CA 95616-3505 | 2006-09-22 |
| 1538600986 | Amy Cui Yu Zhou | Pediatrics | 2330 W Covell Blvd, Davis, CA 95616-5658 | 2017-03-18 |
| 1588090674 | Jeffrey Jilk | Pediatrics | 2020 Sutter Pl Ste 201, Davis, CA 95616 | 2013-09-19 |
| 1699119032 | Allison Rubin Buss | Pediatrics | 1955 Cowell Blvd, Davis, CA 95618-6325 | 2013-04-27 |
| 1700112828 | Maria Nisha Martins | Pediatrics | 2660 W Covell Blvd, Davis, CA 95616-5645 | 2009-10-23 |
| 1396924874 | Sarah Joan Markley | Pediatrics | 2020 Sutter Pl, Davis, CA 95616-6213 | 2007-10-31 |
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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.