GORDON D PHILLIPS M.D. NPI 1033158670

NPI Information

  • NPI: 1033158670
  • Provider Name: GORDON D PHILLIPS, M.D.
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 W FERN AVE
    REDLANDS, CA
    ZIP 92373
  • Phone: (909) 793-3311

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NPI Details

Gordon D Phillips, M.D. is a public health and general preventive medicine preventive medicine in Redlands, CA with 49 years of experience. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Gordon D Phillips, M.D. NPI is 1033158670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

2 W FERN AVE
REDLANDS, CA
ZIP 92373-916
Phone: (909) 793-3311
Fax: (909) 793-2916

The NPI 1033158670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Automated urinalysis test (HCPCS:81003)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 11/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineG54853CALIFORNIANo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineG58853CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A52807MEDICARE UPINCALIFORNIA
200G548530MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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