Mr Roderick Phillips, is a
Community Health Worker based in Rialto, California. Mr Roderick Phillips is licensed to practice in California (license number ) and his current practice location is
850 E Foothill Blvd, Rialto, California. He can be reached at his office (for appointments etc.) via phone at
(909) 873-4409.
NPI number for Mr Roderick Phillips is 1588018873 and his current mailing address is 95 Birdsong Ct, Beaumont, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588018873.
Healthcare Provider's Profile
| Full Name | Mr Roderick Phillips |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 850 E Foothill Blvd, Rialto, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588018873
- Provider Enumeration Date: 04/22/2016
- Last Update Date: 09/16/2024
Medical Identifiers
Medical identifiers for Mr Roderick Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588018873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roderick Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roderick Phillips,
95 Birdsong Ct,
Beaumont, CA 92223-3143
Ph: () - | Mr Roderick Phillips,
850 E Foothill Blvd,
Rialto, CA 92376-5230
Ph: (909) 873-4409 |
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