PHILIP DOUGLAS FORD (NPI# 1851451140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851451140 |
| Entity Type | Individual |
| Full Name | PHILIP DOUGLAS FORD |
| Credential | PA-C |
| Practice Address |
5255 Elkhorn Blvd Sacramento CA 95842-2506 |
| Mailing Address |
701 Howe Ave Ste C3 Sacramento CA 95825-4604 |
| Practice Telephone | 9163341100 |
| Mailing Telephone | 9169721100 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2013-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA13263 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA LICSENSE | 13263 | 01 |
| CA | DEA LICSENSE | MF0498433 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871794446 | Philip David Ford | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1710 | 2007-05-30 |
| Street Address |
5255 ELKHORN BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95842-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558312629 | Mikhail Palatnik | Internal Medicine | 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2006-05-13 |
| 1649893009 | Valery D. Tarasenko, Md, Inc. | Pain Medicine | 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2020-05-20 |
| 1366733578 | Elkhorn Surgical Center | Clinic/Center | 5255 Elkhorn Blvd, B, Sacramento, CA 95842-2506 | 2011-04-21 |
| 1639242001 | Elena Rapoport | Psychiatry & Neurology | 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318837 | Eve T Mallillin | Behavioral Analyst | 11670 White Rock Road, Suite 150, Rancho Cordova, CA 95842 | 2018-12-21 |
| 1760928824 | Tami Bumpass | Behavior Technician | 7806 Uplands Way Suite A, Citrus Hts, CA 95842 | 2017-01-13 |
| 1659621373 | Carl D Engelke | Military Health Care Provider | 7484 Holworthy Way, Apt 139, Sacramento, CA 95842 | 2012-09-11 |
| 1396033395 | Erik Kristopher Smith | Physician Assistant | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2011-07-12 |
| 1356437008 | Christopher Phen | Dentist | 5315 Elkhorn Blvd, Sacramento, CA 95842 | 2006-10-04 |
| 1861906455 | Palatnik Smith Health Care Corp | Clinic/Center | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2017-11-20 |
| 1427477975 | Zachariah Edwards | Counselor | 7425 Verdugo Way, Sacramento, CA 95842-1504 | 2014-04-14 |
| 1336454628 | Lela Feliz Evelyn Feliz | Counselor | 5036 Earlcort Cir, Sacramento, CA 95842-1737 | 2010-08-11 |
| 1447769211 | Milton Danilo Guerrero Leon | Behavior Technician | 5215 Karm Way, Sacramento, CA 95842-1951 | 2017-09-25 |
| 1104472059 | Alicia Cary | Occupational Therapy Assistant | 5520 Lancelot Dr, Sacramento, CA 95842-2100 | 2019-08-15 |
| Find all providers in zip 95842 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1548740541 | Genevieve Clara Towne | Physician Assistant | 4132 B St, Sacramento, CA 95819-2121 | 2018-08-19 |
| 1841577863 | Amy R. Quarre | Physician Assistant | 2408 Q St Apt 1, Sacramento, CA 95816-6837 | 2011-11-04 |
| 1356673214 | Gay D Ayers | Physician Assistant | 4460 Duckhorn Dr, Sacramento, CA 95834-2593 | 2010-02-03 |
| 1477795805 | Flene A Folsom | Physician Assistant | 4400 Duckhorn Drive, Sacramento, CA 95834 | 2009-03-31 |
| 1154566552 | Mikhail G Karton | Physician Assistant | 701 Howe Ave Ste C1, Sacramento, CA 95825-4670 | 2008-12-13 |
| 1881603629 | Ja Yang | Physician Assistant | 3811 Florin Rd Ste 9, Sacramento, CA 95823-1818 | 2006-08-07 |
| 1801899836 | Sarah L Zichella | Physician Assistant | 2801 K St, Suite 410, Sacramento, CA 95816-5120 | 2005-05-23 |
| 1285247049 | Thanh Trung Pham | Physician Assistant | 4610 X St, Sacramento, CA 95817-2200 | 2020-08-30 |
| 1760092688 | Keoki Lawrence Goeas Leong | Physician Assistant | 4610 X St, Sacramento, CA 95817-2200 | 2020-08-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95842 |
Please comment or provide details below to improve the information on PHILIP DOUGLAS FORD.
| 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.