MISS PHYLLIS ROSS (NPI# 1568550317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568550317 |
| Entity Type | Individual |
| Full Name | MISS PHYLLIS ROSS |
| Credential | PHYSICIAN ASSITANT |
| Practice Address |
777 Flower St Ste A Glendale CA 91201-3000 |
| Mailing Address |
1500 W West Covina Pkwy West Covina CA 91790-2703 |
| Practice Telephone | 8186372000 |
| Practice Fax Number | 8182428761 |
| Mailing Telephone | 6269263702 |
| Mailing Fax Number | 6269603726 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12182 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164577888 | Phyllis Greenfield Ross | Social Worker | 100 Whitlockville Rd, Katonah, NY 10536-1113 | 2007-01-24 |
| 1497849079 | Phyllis Ross | Counselor | 573 Main Street, Winchester, MA 01890 | 2006-10-03 |
| 1184686453 | Phyllis R Ross | Occupational Therapist | 11712 Jefferson Ave, Suite D, Newport News, VA 23606-4406 | 2006-04-04 |
| Street Address |
777 FLOWER ST STE A |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881430 | Patricia Sue Hester | Nurse Practitioner | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2005-06-17 |
| 1073647434 | Lakeside Medical Group, Inc. | Health Maintenance Organization | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-15 |
| 1003940479 | Verdugo Hills Medical Group, Ipa | Health Maintenance Organization | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-15 |
| 1497886220 | Rimma Shaposhnikov | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2007-03-07 |
| 1780762567 | Michael Chulman | Surgery | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-11-01 |
| 1932129434 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-07-20 |
| 1063454510 | Mehdi Razeghi | Internal Medicine | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-06-11 |
| 1154373660 | Shivani Shah | Obstetrics & Gynecology | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-16 |
| 1306895412 | Edmund O Pascual | Pediatrics | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-08 |
| 1083662340 | Beata Anna Wicherski | Pediatrics | 777 Flower St Ste A, Glendale, CA 91201-3000 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
| Find all providers in zip 91201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1417519588 | Elizabeth Lisa Chilian | Physician Assistant | 345 Pioneer Dr Unit 1203, Glendale, CA 91203-2780 | 2019-06-28 |
| 1659846988 | Gabriel Thomas Lopez | Physician Assistant | 7419 W Planada Ln, Glendale, AZ 85310-5886 | 2018-10-13 |
| 1417445487 | Core Geriatric Medical Group LLC | Physician Assistant | 1505 S Glendale Ave, Glendale, CA 91205-3315 | 2018-04-25 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| 1114465598 | Diana Andreea Stan | Physician Assistant | 18555 N 79th Ave Ste B108, Glendale, AZ 85308 | 2017-02-07 |
| 1235687310 | Lynzi Kay Warner | Physician Assistant | 4344 W Bell Rd Ste 102, Glendale, AZ 85308-3589 | 2016-09-16 |
| 1558737791 | Martin Airian | Physician Assistant | 1577 E Chevy Chase Dr Ste 240, Glendale, CA 91206-4742 | 2015-08-11 |
| Find all providers in GLENDALE | ||||
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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.