MRS. PHYLLIS V. STILSON (NPI# 1699754739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699754739 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS V. STILSON |
| Credential | N.P. |
| Practice Address |
4323 W Riverside Dr Burbank CA 91505-4044 |
| Mailing Address |
27361 Sierra Hwy Space #3 Canyon Country CA 91351-3053 |
| Practice Telephone | 8187637691 |
| Mailing Telephone | 8187637691 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN218909 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4323 W RIVERSIDE DR |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700240215 | Sakiba Khan | Internal Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2016-04-11 |
| 1821402033 | Reno Terribilini | Internal Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2014-06-16 |
| 1144648262 | Lara Atchabahian | Internal Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2014-04-05 |
| 1508109869 | Nooshin Yashar | Internal Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2013-04-04 |
| 1164786042 | Jason F Lee | Family Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2012-06-26 |
| 1275809691 | Reuben Jubin Ram | Family Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2012-03-29 |
| 1215210083 | Rachelle Dawn Padilla | Internal Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2011-09-27 |
| 1033406574 | Sagir Girish Bera | Family Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2011-07-05 |
| 1417242389 | Keiko Tochikura | Family Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2011-06-17 |
| 1447545215 | Talia Landau Shorr | Family Medicine | 4323 W Riverside Dr, Burbank, CA 91505-4044 | 2011-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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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.