PHILLIP W POTH (NPI# 1649370164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649370164 |
| Entity Type | Individual |
| Full Name | PHILLIP W POTH |
| Credential | M.D. |
| Practice Address |
3220 Mission Ave Ste 1 Oceanside CA 92058-1354 |
| Mailing Address |
1618 James Drive Carlsbad CO 92008-1956 |
| Practice Telephone | 7607366767 |
| Practice Fax Number | 7607368740 |
| Mailing Telephone | (240) 876-8440 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2017-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C135333 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 408623600 | 05 |
| Street Address |
3220 MISSION AVE STE 1 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386330 | Laurie Ann Brebrick | Registered Nurse | 3220 Mission Ave Ste 1, Oceanside, CA 92058-1354 | 2005-06-20 |
| 1114298130 | Lisa Maria Abresch | Physician Assistant | 3220 Mission Ave Ste 1, Oceanside, CA 92058 | 2012-01-23 |
| 1750474177 | Jeremy Daniel Blakespear | Physician Assistant | 3220 Mission Ave Ste 1, Oceanside, CA 92058-1354 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265871693 | Emory Smith Winship Viii | Internal Medicine | Naval Hospital Camp Pendleton Internal Medicine Clinic, 200 Mercy Circle, Oceanside, CA 92055 | 2013-06-19 |
| 1790035673 | Robert Eli Resnick | Internal Medicine | 35 Patten Ave, Oceanside, NY 11572-1025 | 2012-09-18 |
| 1922234004 | Sanaa Saher Mithaiwala | Internal Medicine | 3091 Nassau Rd, Oceanside, NY 11572-3000 | 2009-06-03 |
| 1518100148 | Ryan Alan Smith | Internal Medicine | 3998 Vista Way Ste 200, Oceanside, CA 92056-4519 | 2009-04-13 |
| 1558500777 | Nagi Ibrahim Md Inc | Internal Medicine | 2122 S El Camino Real Ste 102, Suite B, Oceanside, CA 92054-6209 | 2009-02-11 |
| 1235314907 | Heather Lewis | Internal Medicine | 222 Cottonwood St N, Oceanside, CA 92058-6641 | 2007-12-31 |
| 1073705695 | Mes Medical Consultingpc | Internal Medicine | 97 Elaine Dr, Oceanside, NY 11572-5708 | 2007-08-16 |
| 1225126600 | Anitha Rajamanickam | Internal Medicine | 3230 Waring Ct Ste O, Oceanside, CA 92056-4509 | 2006-10-10 |
| 1437252665 | Glenn John Macdonald | Internal Medicine | 26 Davison Ave, Oceanside, NY 11572-2237 | 2006-09-06 |
| 1407871817 | Denise Gomez | Internal Medicine | 605 Crouch St Bldg C, Oceanside, CA 92054-4415 | 2006-07-13 |
| Find all providers in OCEANSIDE | ||||
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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.