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MR. GLENN PHILLIPS PA
NPI 1023090487
Physician Assistant in Mission Viejo, CA

Active since November 18, 2005
23512 MADERO, MISSION VIEJO, CA 92691(949) 583-1600(949) 454-8067 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Glenn Phillips Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLENN PHILLIPS PA (NPI 1023090487) is an individual physician assistant in Mission Viejo, California, licensed in California (PA 10513) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1023090487
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GLENN PHILLIPSCredential: PA
Location Address23512 MADEROMission Viejo, CA 92691-2743
Mailing Address17360 Brookhurst St, Attn: Credentialing DepartmentFountain Valley, CA 92708-3720 · (657) 241-3592
Phone(949) 583-1600
Fax(949) 454-8067
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateMay 26, 2016
✔ NPI 1023090487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA 10513
Definition
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.
23512 MADERO, Mission Viejo, CA 92691
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Other Identifiers 4

MedicaidPA10513CA
Medicare PINET485ZCA
Medicare UPINR40110CA
Medicare PINWPA10513ECA

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY YUSOOK MOON M.D.
Family Medicine
23512 MADERO
MISSION VIEJO, CA 92691
Orange County (949) 583-1600
MS. MARIA FELICIA HIDALGO MARCOS MSN, FNP
Nurse Practitioner (Family)
23512 MADERO
MISSION VIEJO, CA 92691
Orange County (949) 583-1600
DR. UYEN DANG M.D.
Family Medicine
23512 MADERO, MEMORIALCARE MEDICAL GROUP
MISSION VIEJO, CA 92691
Orange County (949) 583-1600
DR. DUNG TRINH MD
Internal Medicine
23512 MADERO
MISSION VIEJO, CA 92691
Orange County (949) 583-1600
DR. ARNOLD CUENCA D.O.
Family Medicine (Sports Medicine)
23512 MADERO
MISSION VIEJO, CA 92691
Orange County (949) 583-1600
REGINA MARIANO BALDO FNP-C
Nurse Practitioner (Family)
23512 MADERO
MISSION VIEJO, CA 92691
Orange County (949) 583-1600
DR. SAGHI ROKHSHADFAR MD
Internal Medicine
23512 MADERO
MISSION VIEJO, CA 92691
Orange County (949) 583-1600
DR. SCOTT S LEE MD
Family Medicine
23512 MADERO
MISSION VIEJO, CA 92691
Orange County (949) 583-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Phillips's NPI number?

The NPI number for Glenn Phillips is 1023090487. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Glenn Phillips located?

Glenn Phillips practices at 23512 Madero, Mission Viejo, CA 92691. The listed phone number is (949) 583-1600.

What is Glenn Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Glenn Phillips was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.