Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235191982 Deactivated / Inactive NPI Female Practitioner

Miriam Salome Phillips , PA-C

Physician Assistant • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Miriam Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 06, 2006
NPI Deactivation Date August 03, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Miriam Phillips, PA-C was a registered Physician Assistant practicing in Fresno, CA. Throughout an active medical career spanning 11 years, Miriam Phillips provided care at the practice location at 255 N HERWALDT DR until profile deactivation on 2017-08-03.

Practice Location & Contact Primary Location

Practice Address

255 N Herwaldt Dr

Fresno, CA 937012186

Telephone 5594597300
Fax 5594593750
Associated Practice Facility / Clinic
🏢 Family Healthcare Network Facility NPI 1609384940

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
194 Specialists

Practicing in Fresno, CA (14617 Statewide)

Telehealth Adoption Rate
8.8% 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 PA22034

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

20 Associated Practitioners
Craig Roberts , PA-C

Physician Assistant

NPI 1033219662

Physician Assistant (Certified)

Christopher Hillman , PA-C

Physician Assistant - Surgical

NPI 1104014562

Physician Assistant (Certified)

David Palecek , NP-C

Nurse Practitioner

NPI 1104337393

Nurse Practitioner (Certified)

Rodrigo De Zubiria , PA-C

Physician Assistant - Surgical

NPI 1194948406

Physician Assistant (Certified)

Cameron Baker , PA-C

Physician Assistant - Surgical

NPI 1205265964

Physician Assistant (Certified)

Maria Lin , PA-C

Physician Assistant

NPI 1295018026

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2014

Registered at 255 N HERWALDT DR, FRESNO, CA 937012186 (Tel: 5594597300)

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Updated Business Mailing Address July 01, 2014

Registered at 2625 E DIVISADERO ST, FRESNO, CA 937211431 (Tel: 5594432682)

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Provider Name / Credentials Updated July 01, 2014

Recorded as MIRIAM PHILLIPS, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

Physician Assistant (License #PA22034 in CA)

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Initial NPI Registration & Enumeration April 06, 2006

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: 1235191982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2006
Last Update: July 01, 2014
Deactivation Date: August 03, 2017

Mailing Address

2625 E Divisadero St

Fresno, CA 937211431

Phone: 5594432682

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.