PHOENIX MEDICAL GROUP, INC. (NPI# 1649612128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649612128 |
| Entity Type | Organization |
| Organization Name | PHOENIX MEDICAL GROUP, INC. |
| Practice Address |
7851 Mission Center Ct Suite 205 San Diego CA 92108-1325 |
| Mailing Address |
3576 Arlington Ave Suite 100 Riverside CA 92506-3943 |
| Practice Telephone | 9099373400 |
| Practice Fax Number | 9099373411 |
| 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 |
|---|---|---|---|---|
| 1427490903 | Phoenix Medical Group, Inc. | Acupuncturist | 353 E 1st St, Calexico, CA 92231-2731 | 2013-07-24 |
| 1255763058 | Phoenix Medical Group, Inc. | Acupuncturist | 4355 E Airport Dr, Suite 100, Ontario, CA 91761-7812 | 2013-08-02 |
| 1811339385 | Phoenix Medical Group, Inc. | Acupuncturist | 3576 Arlington Ave, Suite 100, Riverside, CA 92506-3943 | 2013-07-24 |
| Street Address |
7851 MISSION CENTER CT SUITE 205 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336367648 | Sarah Ray Lapilusa | Counselor | 7851 Mission Center Ct, Ste. 300, San Diego, CA 92108-1325 | 2007-04-23 |
| 1225402902 | Kelley Rogers | Counselor | 7851 Mission Center Ct, Suite 300, San Diego, CA 92108-9210 | 2015-11-18 |
| 1174908024 | Work Comp Medical Services Inc | Case Management | 7851 Mission Center Ct, Ste. 306, San Diego, CA 92108-1325 | 2015-07-21 |
| 1972934149 | Wendy Manikowski | Behavioral Analyst | 7851 Mission Center Ct, Suite 322, San Diego, CA 92108-1325 | 2013-12-12 |
| 1215366166 | Kari King | Behavioral Analyst | 7851 Mission Center Ct, Suite 322, San Diego, CA 92108-1325 | 2013-11-01 |
| 1689003527 | Laurel Critti | Behavioral Analyst | 7851 Mission Center Ct, Suite 322, San Diego, CA 92108-1325 | 2013-11-01 |
| 1780932087 | Bridges Educational Corporation | Community/Behavioral Health | 7851 Mission Center Ct, Ste 322, San Diego, CA 92108-1325 | 2012-08-17 |
| 1598013898 | Bridges Educational Corporation | Community/Behavioral Health | 7851 Mission Center Ct, Ste 322, San Diego, CA 92108-1325 | 2012-08-17 |
| 1972808202 | Sleep Better and Lav, Inc | Clinical Medical Laboratory | 7851 Mission Center Ct, Ste 200, San Diego, CA 92108-1325 | 2011-01-18 |
| 1235459827 | Antonio R Brown | Physician Assistant | 7851 Mission Center Ct, #112, San Diego, CA 92108-1325 | 2010-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| 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 |
|---|---|---|---|---|
| 1861836371 | Rigler Chiropractic Corporation | Chiropractor | 11830 Treewind Ct, San Diego, CA 92128-5272 | 2013-04-26 |
| 1235367046 | Donald Bruce Taylor Jr. | Chiropractor | 777 Front St, San Diego, CA 92101-6002 | 2009-06-30 |
| 1962680611 | Parlan L. Edwards, D.c., Apc | Chiropractor | 6354 University Ave, San Diego, CA 92115-5813 | 2008-02-05 |
| 1033236989 | Debbie Goldring | Chiropractor | 3904 Convoy St, Suite 117, San Diego, CA 92111-3766 | 2007-03-24 |
| 1134204647 | Steven Jay Rigler | Chiropractor | 1885 National Ave, San Diego, CA 92113-2147 | 2006-10-25 |
| 1316049786 | David Allen Gregg | Chiropractor | 7151 El Cajon Blvd, Ste J, San Diego, CA 92115-1819 | 2006-09-05 |
| 1063424067 | Simmons Chiropractic, Inc. | Chiropractor | 9484 Black Mountain Rd, Suite I, San Diego, CA 92126-4520 | 2006-08-12 |
| 1104845122 | Craig L. Dillman | Chiropractor | 4241 Jutland Dr, Ste 202, San Diego, CA 92117-3661 | 2006-07-19 |
| 1366776767 | Victor Bj Krauss Chiropractic, A Professional Corporation | Chiropractor | 6753 El Cajon Blvd, San Diego, CA 92115-1621 | 2009-10-01 |
| 1760611768 | John Smith Krage | Chiropractor | 5333 Mission Center Rd, Suite 100, San Diego, CA 92108-1302 | 2009-07-11 |
| Find all providers in SAN DIEGO | ||||
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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.