PHILIP JOHN ROOS M.D. NPI 1376554170

NPI Information

NPI: 1376554170
Provider Name: PHILIP JOHN ROOS, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
11201 BENTON ST
MEDICAL SERVICE, 111
LOMA LINDA, CA
ZIP 92357
Phone: (909) 583-6094
Get Directions

Philip John Roos, M.D. is a pulmonary disease internal medicine in Loma Linda, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Philip John Roos, M.D. NPI is 1376554170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11201 BENTON ST
MEDICAL SERVICE, 111
LOMA LINDA, CA
ZIP 92357-000
Phone: (909) 583-6094

The NPI 1376554170 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 enumeration date for this NPI number is 8/10/2006 and was last updated on 8/20/2007.

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
1	207R00000X	Internal Medicine		G39270	CALIFORNIA	No
2	207R00000X	Internal Medicine		MD 15863	WASHINGTON	No
3	207R00000X	Internal Medicine		MD 11957	OREGON	No
4	207RC0200X	Internal Medicine	Critical Care Medicine	G39270	CALIFORNIA	No
5	207RC0200X	Internal Medicine	Critical Care Medicine	MD 15863	WASHINGTON	No
6	207RC0200X	Internal Medicine	Critical Care Medicine	MD 11957	OREGON	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	MD 15863	WASHINGTON	No
8	207RP1001X	Internal Medicine	Pulmonary Disease	MD 11957	OREGON	No
9	207RP1001X	Internal Medicine	Pulmonary Disease	G39270	CALIFORNIA	Yes

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
1	A47762	MEDICARE UPIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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