PHILIP EBERSOLE M D FAMILY PRACTICE PROFESSIONAL CORPORATION (NPI# 1669575718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669575718 |
| Entity Type | Organization |
| Organization Name | PHILIP EBERSOLE M D FAMILY PRACTICE PROFESSIONAL CORPORATION |
| Other Organization Name | PHILIP EBERSOLE M D FAMILY PRACTICE |
| Practice Address |
25405 Hancock Ave Suite 204 Murrieta CA 92562-5982 |
| Mailing Address |
30650 Rancho California Rd Ste D406-145 Temecula CA 92591-3215 |
| Practice Telephone | 9518946868 |
| Practice Fax Number | 9518946860 |
| Mailing Telephone | 9518946868 |
| Mailing Fax Number | 9518946860 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2019-08-25 |
| Authorized Official Name | MRS. EVA MARIA EBERSOLE (OFFICE MANAGER) |
| Authorized Official Telephone | 9518946868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C431720 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Philip Ebersole M D Family Practice | Doing Business As Name - Organization |
| Street Address |
25405 HANCOCK AVE SUITE 204 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596912 | Herman David Lu | Internal Medicine | 25405 Hancock Ave, Suite 216, Murrieta, CA 92562-5982 | 2005-11-23 |
| 1962015206 | Vijay Shelat | Pharmacy | 25405 Hancock Ave, Suite #100, Murrieta, CA 92562 | 2020-08-26 |
| 1366050940 | Nadia Steele | Nurse Practitioner | 25405 Hancock Ave, Murrieta, CA 92562-5982 | 2020-07-20 |
| 1700312410 | Kara Ester Flores San Joaquin | Nurse Practitioner | 25405 Hancock Ave, Suite 216, Murrieta, CA 92562-5982 | 2017-05-02 |
| 1235675893 | University Surgery Center | Clinic/Center | 25405 Hancock Ave, Suite 110, Murrieta, CA 92562-5982 | 2017-01-06 |
| 1710355664 | Bea Martin | Physician Assistant | 25405 Hancock Ave, Suite 216, Murrieta, CA 92562-5982 | 2015-09-09 |
| 1235557950 | Athletic Institute and Rehabilitation | Specialist | 25405 Hancock Ave, Murrieta, CA 92562-5982 | 2014-03-31 |
| 1013353473 | Michael Christensen | Anesthesiology | 25405 Hancock Ave, Murrieta, CA 92562-5982 | 2013-05-13 |
| 1265717953 | Robert Mcgraw Apc | Anesthesiology | 25405 Hancock Ave, Suite 103, Murrieta, CA 92562-5982 | 2011-10-13 |
| 1326337718 | Rcm Surgery Center, LLC | Clinic/Center | 25405 Hancock Ave, Ste 110, Murrieta, CA 92562-5982 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043772684 | Troy Jojiro Handojo, M.d., A Professional Corporation | Family Medicine | 40690 California Oaks Rd Ste A, Murrieta, CA 92562-1948 | 2019-04-02 |
| 1922410869 | Talha R Memon | Family Medicine | 39755 Date St Ste 101, Murrieta, CA 92563-2007 | 2014-05-27 |
| 1750655668 | Joanna Ayala | Family Medicine | 29995 Technology Dr Ste 202, Murrieta, CA 92563-2633 | 2012-02-24 |
| 1184945743 | Jerrel Leroy Emery | Family Medicine | 27178 Tree Rose Ave, Murrieta, CA 92562-8000 | 2010-06-17 |
| 1780919282 | Walter Kip Johnson | Family Medicine | 23532 Mountain Breeze Dr, Murrieta, CA 92562-5037 | 2009-10-16 |
| 1639331333 | Leslee B. Cochrane, Md. A Prof. Med. Corp. | Family Medicine | 38224 Oak Bluff Ln, Murrieta, CA 92562-9347 | 2008-06-25 |
| 1982804365 | Rome Walter | Family Medicine | 41011 California Oaks Rd Ste 103, Murrieta, CA 92562-5751 | 2007-07-23 |
| 1871791749 | Monica Vidal | Family Medicine | 27190 Vinca Ct, Murrieta, CA 92562-8003 | 2007-07-03 |
| 1407970684 | Darrin Duc Luu | Family Medicine | 30755-b Auld Road, Murrieta, CA 92563 | 2007-03-16 |
| 1184705790 | Kelly Lee Mckerahan | Family Medicine | 25095 Jefferson Ave Ste 202, Murrieta, CA 92562-9107 | 2006-10-18 |
| Find all providers in MURRIETA | ||||
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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.