PHILLIP MILGRAM MD, INC (NPI# 1679005128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679005128 |
Entity Type | Organization |
Organization Name | PHILLIP MILGRAM MD, INC |
Other Organization Name | NAD TREATMENT CENTER |
Practice Address |
4080 Centre St Suite 105 San Diego CA 92103-2655 |
Practice Telephone | 8446237587 |
Mailing Telephone | 8446237587 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |
Authorized Official Name | PHILIP MARK MILGRAM (OFFICER) |
Authorized Official Telephone | 8446237587 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
A35411 | CA | Allopathic & Osteopathic Physicians |
N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
A35411 | CA | Allopathic & Osteopathic Physicians |
Y | 207V00000X | Obstetrics & Gynecology | A35411 | CA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
NAD Treatment Center | Doing Business As Name - Organization |
Street Address |
4080 CENTRE ST SUITE 105 |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-2655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386773109 | Barbara Nosal | Marriage & Family Therapist | 4080 Centre St, San Diego, CA 92103-2655 | 2007-03-05 |
1063971646 | Jane Margot Benson | Social Worker | 4080 Centre St, San Diego, CA 92103-2655 | 2019-03-13 |
1235665134 | Claire Russell | Specialist | 4080 Centre St, San Diego, CA 92103-2655 | 2017-05-11 |
1477917607 | Ancient Way Healing Center | Acupuncturist | 4080 Centre St, Suite 202, San Diego, CA 92103-2655 | 2016-04-13 |
1366827842 | Kjersti Lang | Student in an Organized Health Care Education/Training Program | 4080 Centre St, San Diego, CA 92103-2655 | 2015-07-24 |
1447635222 | Jamie Hood | Marriage & Family Therapist | 4080 Centre St, Suite 104, San Diego, CA 92103-2655 | 2015-07-22 |
1467837328 | Margrieta Kiperts | Student in an Organized Health Care Education/Training Program | 4080 Centre St, Suite 104, San Diego, CA 92103-2655 | 2015-07-21 |
1386027985 | Deanna Esmeralda Arango | Case Manager/Care Coordinator | 4080 Centre St, Suit 104, San Diego, CA 92103-2655 | 2015-07-01 |
1003296096 | Ahmad Naweed Kazem | Chiropractor | 4080 Centre St, Ste 202, San Diego, CA 92103-2657 | 2015-06-04 |
1962806992 | Amanda Sue Thompson | Marriage & Family Therapist | 4080 Centre St, San Diego, CA 92103-2655 | 2014-10-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
Find all providers in zip 92103 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316494768 | Samantha Berg | Obstetrics & Gynecology | 9339 Genesee Ave Ste 220, San Diego, CA 92121-2121 | 2016-09-01 |
1326495276 | Elizabeth Anne Coulter | Obstetrics & Gynecology | 200 West Arbor Drive, Mc8433, Ucsd Residency Office, San Diego, CA 92103 | 2016-05-20 |
1962889121 | Reproductive Sciences Medical Center | Obstetrics & Gynecology | 3661 Valley Centre Dr, Suite 100, San Diego, CA 92130-3321 | 2015-04-27 |
1134515695 | Tiffani Phan | Obstetrics & Gynecology | 550 Washington St Ste 331, San Diego, CA 92103-2227 | 2015-04-11 |
1437544251 | Lindsey Ann Burnett | Obstetrics & Gynecology | 200 West Arbor Drive, Mailcode 8433, University of California San Diego, San Diego, CA 92103 | 2015-03-30 |
1811240906 | Charles Hamrang | Obstetrics & Gynecology | 3250 Bunker Hill, San Diego, CA 92117 | 2012-10-26 |
1780955328 | Gerald M Spector | Obstetrics & Gynecology | 4045 Couts St, San Diego, CA 92103-1501 | 2012-01-12 |
1841578572 | L Dale Lapp M D Inc | Obstetrics & Gynecology | 4060 4th Ave Ste 640, San Diego, CA 92103-2118 | 2011-07-29 |
1114221603 | Leroy Albert Miller | Obstetrics & Gynecology | 2359 Juan Street, San Diego, CA 92103 | 2010-12-27 |
1154635415 | Robert J Santella, Md. Inc. | Obstetrics & Gynecology | 4531 College Ave, San Diego, CA 92115-4010 | 2010-07-28 |
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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.