Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114167814 Individual Practitioner Male Practitioner

Mark Phillips

Physician Assistant • Emeryville, CA

Professional Overview & Biography Verified Profile Summary

Mark Phillips is a registered healthcare professional specializing in Physician Assistant in Emeryville, CA. Practice services are available at 1335 STANFORD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1335 Stanford Ave

Emeryville, CA 946082536

Telephone 5106475101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Emeryville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Emeryville, CA (14617 Statewide)

Telehealth Adoption Rate
11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA17702

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Nazir Noor , MD

Pain Medicine - Interventional Pain Medicine

NPI 1003302829

Doctor of Medicine (M.D.)

Angela Luu , PA

Physician Assistant

NPI 1003582354

Physician Assistant

Dr. Neil Kamdar , MD

Anesthesiology - Pain Medicine

NPI 1093000226

Doctor of Medicine (M.D.)

Ann Mcwalters , LCSW #

Counselor - Mental Health

NPI 1104554245

LCSW#

Carrie Voyce , FNP-C

Nurse Practitioner - Family

NPI 1134491392

Family Nurse Practitioner (Certified)

Hailey Abraham , CCC-SLP

Speech-Language Pathologist

NPI 1144055401

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2013

Registered at 1335 STANFORD AVE, EMERYVILLE, CA 946082536 (Tel: 5106475101)

📍
Updated Business Mailing Address April 03, 2013

Registered at 1335 STANFORD AVE, EMERYVILLE, CA 946082536 (Tel: 5106475101)

👤
Provider Name / Credentials Updated April 03, 2013

Recorded as MARK PHILLIPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2013

Physician Assistant (License #PA17702 in CA)

🟢
Initial NPI Registration & Enumeration February 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114167814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2009
Last Update: April 03, 2013
Sole Proprietor: No

Mailing Address

1335 Stanford Ave

Emeryville, CA 946082536

Phone: 5106475101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.