Justin R Phillips (NPI# 1649384074, PAC ID# 2163601915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1649384074 |
| PAC ID by PECOS | 2163601915 |
| Professional Enrollment ID | I20110125000975 |
| Full Name | Justin R Phillips |
| Address |
255 E Bonita Ave Pomona CA 91767-1923 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050782 | CASA COLINA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
255 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip | 91767-1923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan C Tang | Anesthesiology | Allied Anesthesia Medical Group Inc | 255 E Bonita Ave, Suite 3b, Pomona, CA 91767-1923 |
| Kerry N Gott | Infectious Disease | 255 E Bonita Ave, Pomona, CA 91767-1923 | |
| Michael Chai | Internal Medicine | 255 E Bonita Ave, Pomona, CA 91767-1923 | |
| Lew B Disney | General Practice | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 255 E Bonita Ave, Bldg 9, Pomona, CA 91767-1923 |
| Jeremy J Neuner | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Abid A Rizvi | Undefined Physician Type (specify) | 255 E Bonita Ave, Bldg 1 Suite 201, Pomona, CA 91767-1923 | |
| Elizabeth A Cano | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Christopher Ruiz | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| George J Cheng | Anesthesiology | Allied Anesthesia Medical Group Inc | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Katrina Keil | Psychologist, Clinical | Colina Medical Associates, Inc. | 255 E Bonita Ave, Pomona, CA 91767-1923 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Barr | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of California Inc | 775 E Foothill Blvd, Pomona, CA 91767-1223 |
| Warren Gabrillo | Family Medicine | 219 E Foothill Blvd, Pomona, CA 91767-1403 | |
| Richard Veirs | Chiropractic | 355 E Foothill Blvd, Suite B, Pomona, CA 91767-1471 | |
| Jia Mao | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Wayne E Houpt Jr. | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Jennifer Lee | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Forrest Doan | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Seeyam Teimoori Nobandegani | Psychiatry | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Susan M Bishop | Clinical Social Worker | Tricity Mental Health Center | 2008 N Garey Ave, Suite 2a, Pomona, CA 91767-1639 |
| Patricia F Wallace-burke | Clinical Psychologist | Tricity Mental Health Center | 2008 N Garey Ave, Pomona, CA 91767-1639 |
| Find all physicians in zip 91767 | |||
| City | POMONA |
| Zip Code | 91767 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | POMONA + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Justin R Phillips.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.