PHILLIP RAY ENTERPRISES, LLC (NPI# 1316291438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316291438 |
| Entity Type | Organization |
| Organization Name | PHILLIP RAY ENTERPRISES, LLC |
| Practice Address |
5711 59th St Sacramento CA 95824-1815 |
| Practice Telephone | 9167370173 |
| Practice Fax Number | 9167370174 |
| Mailing Telephone | 9167370173 |
| Mailing Fax Number | 9167370174 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | MR. MARVIN GIBSON (MANAGING MEMBER/OWNER) |
| Authorized Official Telephone | 9167618385 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
347002410 | CA | Ambulatory Health Care Facilities |
| Street Address |
5711 59TH ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95824-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701422 | Nhlanhla Moyo | Registered Nurse | 3301 37th Street, Sacramento, CA 95824 | 2017-10-23 |
| 1275069650 | Tacoquya Brumfield | Behavior Technician | 5100 South West Ave Apt D, Sacramento, CA 95824 | 2017-05-04 |
| 1639485758 | Louis Alexander Rosales | Physician Assistant | 5385 Frnaklin Blvd, Ste K, Sacramento, CA 95824 | 2010-08-26 |
| 1215182878 | Nancie A. Kenton | Psychologist | 5735 47th Ave., Sacramento, CA 95824 | 2008-11-24 |
| 1447400049 | Jasmine Hernandez | Counselor | 4600 46th Ave., Sacramento, CA 95824 | 2008-09-19 |
| 1023152592 | Michelle Monic Villavicencio | Case Manager/Care Coordinator | 4500 47th Avenue, Suite 5, Sacramento, CA 95824 | 2007-02-17 |
| 1457362584 | Myron Robert Powell | Dentist | 4500 47th Ave, Ste 1, Sacramento, CA 95824 | 2006-08-11 |
| 1629481205 | Ignacio Fernandez | Counselor | 4600 47th Ave Ste 102, Sacramento, CA 95824 | 2014-06-11 |
| 1073645859 | Marneshia Leandia Hart | Counselor | 4600 47th Ave, Suite 111, Sacramento, CA 95824 | 2007-03-09 |
| 1386772473 | Janice Sheree Hunter | Marriage & Family Therapist | 4600 47th Ave Ste 111, Sacramento, CA 95824 | 2007-03-01 |
| Find all providers in zip 95824 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629418512 | Family Planning Associates Medical Group,inc. | Clinic/Center | 2322 Butano Dr, Suite 205, Sacramento, CA 95825-0629 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440276 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 301 N Prairie Ave Ste 611, Inglewood, CA 90301-4513 | 2019-07-24 |
| 1205490802 | Iradj Nazarian Md | Clinic/Center | 5043 Whittier Blvd, Los Angeles, CA 90022-3116 | 2019-04-29 |
| 1437632742 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 43845 10th St W Ste 1e, Lancaster, CA 93534-4800 | 2018-09-12 |
| 1245738194 | Soheil Lahijani M.d., A Medical Corporation | Clinic/Center | 1113 Alta Ave Ste 105, Upland, CA 91786-2803 | 2018-01-25 |
| 1093236986 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 4922 Whittier Blvd, East Los Angeles, CA 90022-1111 | 2017-06-29 |
| 1700312642 | A1 Transportation Inc | Clinic/Center | 7247 Dustin Allan Ln, Van Nuys, CA 91405-2197 | 2017-05-11 |
| 1699156331 | Oakridge Inn Rcfe LLC. | Clinic/Center | 1281 Oakridge Dr, Glendale, CA 91205-3412 | 2015-06-17 |
| 1801205703 | Lew Medical | Clinic/Center | 960 Honeywood Ln, La Habra, CA 90631-6921 | 2014-08-05 |
| 1144564527 | Banj Health Center, Inc. | Clinic/Center | 3620 Mlk Jr Blvd, Lynwood, CA 90262-2607 | 2012-11-25 |
| 1306180195 | Genghong Liu IIi | Clinic/Center | 39156 State St, Fremont, CA 94538-1436 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95824 |
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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.