PHOENIX MEDICAL GROUP, INC. (NPI# 1427490903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427490903 |
| Entity Type | Organization |
| Organization Name | PHOENIX MEDICAL GROUP, INC. |
| Practice Address |
353 E 1st St Calexico CA 92231-2731 |
| Mailing Address |
3576 Arlington Ave Suite 100 Riverside CA 92506-3943 |
| Practice Telephone | 9516876600 |
| Practice Fax Number | 9516876601 |
| Mailing Telephone | 9516876600 |
| Mailing Fax Number | 9516876601 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | DR. BRENT PRATLEY (ORTHOPEDIC) |
| Authorized Official Telephone | 9516876600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255763058 | Phoenix Medical Group, Inc. | Acupuncturist | 4355 E Airport Dr, Suite 100, Ontario, CA 91761-7812 | 2013-08-02 |
| 1649612128 | Phoenix Medical Group, Inc. | Acupuncturist | 7851 Mission Center Ct, Suite 205, San Diego, CA 92108-1325 | 2013-07-24 |
| 1811339385 | Phoenix Medical Group, Inc. | Acupuncturist | 3576 Arlington Ave, Suite 100, Riverside, CA 92506-3943 | 2013-07-24 |
| Street Address |
353 E 1ST ST |
| City | CALEXICO |
| State | CA |
| Zip Code | 92231-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1033745757 | Imperial County Behavioral Health Services | Clinic/Center | 23 East 3rd Street, Calexico, CA 92231 | 2020-03-13 |
| 1508143827 | Imperial Valley Optomtric Corporation | Optometrist | 1113 Imperial Ave. W., Ste 103, Calexico, CA 92231 | 2011-11-15 |
| 1902065428 | Mariana Nogales | Registered Nurse | 233 West Cole Road, Calexico, CA 92231 | 2008-06-09 |
| 1447462924 | Calexico Unified School District | Local Education Agency (LEA) | 901 Andrade Ave., Calexico, CA 92231 | 2007-05-04 |
| 1740327238 | Manuel Ypina | Registered Nurse | 604 Birch St, Calexico, CA 92231 | 2007-01-31 |
| 1851457725 | Michelle Lynn Melendez | Pediatrics | 233 W. Cole Blvd, Calexico, CA 92231 | 2006-12-28 |
| 1952310898 | Edna R. Esquer | Registered Nurse | 1001 E. U.S. Hwy 98, Suite 1, Calexico, CA 92231 | 2006-08-07 |
| 1083633499 | Charles Garrick Webb | Family Medicine | 801 E Birch St, Suite 2, Calexico, CA 92231 | 2006-07-18 |
| 1689691644 | Gilbert Pangilinan | Physical Therapist | 120 W Cole Rd. Ste B, Calexico, CA 92231 | 2006-07-16 |
| Find all providers in zip 92231 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174094809 | Total Health | Chiropractor | 14650 Aviation Blvd Ste 100, Hawthorne, CA 90250-6667 | 2018-12-06 |
| 1447786074 | Gail Penniman | Chiropractor | 2745 Porter St, Ste D, Soquel, CA 95073-2471 | 2017-05-02 |
| 1528506540 | Ian Fitz-gibbon | Chiropractor | 1800 N Broadway, Santa Ana, CA 92706-2656 | 2017-02-09 |
| 1932654761 | Capital Medical Group PC | Chiropractor | 7007 Washington Ave Ste 350, Whittier, CA 90602-3611 | 2016-08-22 |
| 1871941757 | Alan Pires | Chiropractor | 1676 Gaywood Dr, Altadena, CA 91001-1852 | 2016-06-01 |
| 1184097990 | Kartch Chiropractic, PC | Chiropractor | 3661 Grand Ave Ste 101-103, Oakland, CA 94610-2025 | 2015-11-03 |
| 1881064061 | Jennifer Louise Martin | Chiropractor | 73741 Highway 111, Palm Desert, CA 92260-4016 | 2015-10-01 |
| 1154721900 | Western Orthopaedic Group PC | Chiropractor | 13120 Philadelphia St, Whittier, CA 90601-4301 | 2014-08-29 |
| 1780099259 | Nicholas Edward Cruze | Chiropractor | 1528 Union St, San Francisco, CA 94123-4505 | 2014-06-24 |
| 1760800288 | Renbarger Chiropractic,inc. | Chiropractor | 751 Blossom Hill Rd Ste A2, Los Gatos, CA 95032-3583 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
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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.