MR. JOHN KIRK PHILLIPS


Address: 1200 El Camino Real, South San Francisco, CA 94080-3208
Phone: 6507422561

MR. JOHN KIRK PHILLIPS (NPI# 1770651887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770651887
Entity Type Individual
Full Name MR. JOHN KIRK PHILLIPS
Credential RN, MSN, FNP-C
Practice Address 1200 El Camino Real
South San Francisco
CA 94080-3208
Mailing Address 1200 El Camino Real
South San Francisco
CA 94080
Practice Telephone 6507422561
Mailing Telephone 6507422561
Enumeration Date 2006-11-30
Last Update Date 2007-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
11892 CA Physician Assistants & Advanced Practice Nursing Providers

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1376769760 John Doss Phillips Physical Therapist 3409 Swisher Rd, Denton, TX 76208-7357 2007-04-17
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1124160296 John Martin Phillips II Pediatrics 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 2007-02-13
1447327937 John C Phillips Internal Medicine 1726 East Carson Street, Pittsburgh, PA 15203 2006-11-29
1255432738 John Scott Phillips Podiatrist 883 London Ave Ste C, Marysville, OH 43040-9166 2006-09-26
1467559559 John Michael Phillips Physical Therapist 700 River Avenue, Ste B, Iron Mountain, MI 49801 2006-09-20
1477567485 John H Phillips Internal Medicine 1037 Sw 5th Ave, Ontario, OR 97914-3301 2006-07-27

Office Location

Street Address 1200 EL CAMINO REAL
City SOUTH SAN FRANCISCO
State CA
Zip Code 94080-3208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407858988 Scot W. Russell Psychologist 1200 El Camino Real, South San Francisco, CA 94080 2005-08-15
1275131351 Guerline Bornelus Registered Nurse 1200 El Camino Real, South San Francisco, CA 94080-3299 2020-10-12
1174134258 Trista Yuen Ting Tam Pharmacist 1200 El Camino Real, South San Francisco, CA 94080-3299 2020-08-12
1831707686 Kurt Herman Theumer Respiratory Therapist, Registered 1200 El Camino Real, South San Francisco, CA 94080-3208 2020-07-17
1538787346 Maryfloriel Lozada Respiratory Therapist, Registered 1200 El Camino Real, South San Francisco, CA 94080-3299 2020-07-08
1881235109 Sau Ming Lam Dietitian, Registered 1200 El Camino Real, South San Francisco, CA 94080-3208 2019-10-08
1073078606 Vue Ngoy Respiratory Therapist, Registered 1200 El Camino Real, South San Francisco, CA 94080-3208 2019-02-07
1891269510 Zachary Robert Cinti Physician Assistant 1200 El Camino Real, South San Francisco, CA 94080-3299 2019-01-15
1770056756 Debora M Creighton-vaz Respiratory Therapist, Registered 1200 El Camino Real, South San Francisco, CA 94080-3208 2019-01-02
1508338088 Melissa Anne Dayao Respiratory Therapist, Registered 1200 El Camino Real, South San Francisco, CA 94080-3208 2018-12-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245704303 Patricia Sweeney Nurse Practitioner 435 Gran Ave, South San Francisco, CA 94080 2019-01-11
1518446988 Yessenia Patricia Pena Ruiz Counselor 117 Pecks Ln, South San Francisco, CA 94080 2018-08-07
1982112579 Breanna Mottau Behavioral Analyst 751a Camino Plaza, San Bruno, CA 94080 2018-01-17
1720594294 Patricia Lynn Jasper Nurse Practitioner 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 2017-12-20
1184146755 Breanne Ho Student in an Organized Health Care Education/Training Program 130 Nursery Way, South San Francisco, CA 94080 2017-07-14
1568843787 Lita Wu Optometrist 119 Hickey Blvd, South San Francisco, CA 94080 2015-06-12
1720479553 Naf Nasser Almadari Physician Assistant 717 Baden Ave, San Francisco, CA 94080 2015-02-16
1528459351 Alexander M Gold Internal Medicine 270 East Grand Avenue, South San Francisco, CA 94080 2015-02-16
1548673411 Elite Care Home Health Agency, Inc. Home Health 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 2014-06-08
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720594294 Patricia Lynn Jasper Nurse Practitioner 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 2017-12-20
1265772669 Katrina Surban Cruz Nurse Practitioner 35 Seville Way, South San Francisco, CA 94080-5544 2013-02-21
1275682056 Elisabeth O'mara Sutter Nurse Practitioner 1200 El Camino Real, South San Francisco, CA 94080-3208 2007-01-09
1528125747 Phyllis Jane Moore Nurse Practitioner 1200 El Camino Real, South San Francisco, CA 94080-3208 2007-01-03
1356407480 Yong-qung Yang Nurse Practitioner 1200 El Camino Real, South San Francisco, CA 94080-3208 2007-01-01
1245318633 Cherie Mignon Hawkins Nurse Practitioner 1200 El Camino Real, South San Francisco, CA 94080-3208 2006-11-01
1154431203 Thomas Michael Grothe Nurse Practitioner 1200 El Camino Real, South San Francisco, CA 94080-3208 2006-08-30

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1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
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Competitor

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City SOUTH SAN FRANCISCO
Zip Code 94080

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Dataset Information

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.

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