Kimberly Phillips (NPI# 1790705937, PAC ID# 6204056450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790705937 |
| PAC ID by PECOS | 6204056450 |
| Professional Enrollment ID | I20141009002571 |
| Full Name | Kimberly Phillips |
| Organization Legal Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Address |
1941 Johnson Ave Suite 301 San Luis Obispo CA 93401-4175 |
| Phone Number | 8057864111 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739091364 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 850 Fair Oaks Ave, Suite 100, Arroyo Grande, CA 93420-3348 | 8054730700 | PACIFIC CENTRAL COAST HEALTH CENTERS |
| 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4175 | 8057864111 | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Organization Legal Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Physicians | 183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaiah James Coupland Roggow | Family Medicine | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Rebecca K Jones | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Scott Patrick Piazza | Family Medicine | Pacific Central Coast Health Centers | 1400 E Church St, 8 Family Medicine Center, Santa Maria, CA 93454-5906 |
| Christina Henry | Physician Assistant | Pacific Central Coast Health Centers | 340 E Betteravia Rd, Suite Acd, Santa Maria, CA 93454-7847 |
| James Thomas Link | Hematology/oncology | Pacific Central Coast Health Centers | 715 Tank Farm Rd C, San Luis Obispo, CA 93401-7068 |
| Taimur Latif Chaudhry | Obstetrics/gynecology | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 104, Santa Maria, CA 93454-8905 |
| Hannah Scobel Pisklov | Physician Assistant | Pacific Central Coast Health Centers | 685 Morro Ave C, Morro Bay, CA 93442-2233 |
| Terry Chen | Family Medicine | Pacific Central Coast Health Centers | 2 James Way, 209 Medical Clinic At James Way, Pismo Beach, CA 93449-4976 |
| Meghan Mckiernan | Family Medicine | Pacific Central Coast Health Centers | 2238 Bayview Heights Dr, Suite G, Los Osos, CA 93402-3930 |
| Farnaz Pirayesh | Family Medicine | Pacific Central Coast Health Centers | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 |
| Street Address |
1941 JOHNSON AVE SUITE 301 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip | 93401-4175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Dennish | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Lawrence Vondollen | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Danae M Wilke | Physician Assistant | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Aaron D Kromhout | Obstetrics/gynecology | 1941 Johnson Ave, Suite 202, San Luis Obispo, CA 93401-4154 | |
| Vivian R Storrer | Obstetrics/gynecology | Pacific Central Coast Health Centers | 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4175 |
| Andrea H Tackett | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Lela R Lewis | Obstetrics/gynecology | Pacific Central Coast Health Centers | 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4175 |
| Timothy Mcshurley | Interventional Cardiology | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Robert J Doria | Interventional Cardiology | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Jennifer Anne Springer | Cardiovascular Disease (cardiology) | Coastal Cardiology A Medical Corp | 1941 Johnson Ave, Suite 101, San Luis Obispo, CA 93401-4154 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN LUIS OBISPO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Phillips.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.