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BELLINY PHAETON MD NPI 1699265629


NPI Information

NPI: 1699265629
Provider Name: BELLINY PHAETON, MD
Classification: Preventive Medicine - 2083P0500X
Entity Type: Individual

Specialization: Preventive Medicine/Occupational Environmental Medicine

PECOS Registration: Yes

Address:
24785 STEWART ST # EH-204
LOMA LINDA, CA
ZIP 92350
Phone: (909) 651-5809
Get Directions

Belliny Phaeton, MD is a preventive medicine/occupational environmental medicine preventive medicine in Loma Linda, CA with 6 years of experience. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Belliny Phaeton, MD NPI is 1699265629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:2018

The provider's business location address is:

24785 STEWART ST # EH-204
LOMA LINDA, CA
ZIP 92350-721
Phone: (909) 651-5809
Fax: (909) 558-0451

The NPI 1699265629 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 5/15/2018 and was last updated on 9/26/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA180520CALIFORNIANo
2208000000XPediatricsA180520CALIFORNIANo
32083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineA180520CALIFORNIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.