ELAINE ROLAND PHILLIPS MD
NPI 1083461164
Student in an Organized Health Care Education/Training Program in Santa Cruz, CA

Q: What is Elaine Phillips's NPI number?

The NPI number for Elaine Phillips is 1083461164. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Q: What is Elaine Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Phillips was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since May 06, 2024PECOS Enrolled

1555 SOQUEL DR, SANTA CRUZ, CA 95065(831) 462-7700 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, May 6, 2024 (2 updates tracked since 2024).

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About Elaine Roland Phillips Md NPPES

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

ELAINE ROLAND PHILLIPS MD (NPI 1083461164) is an individual student in an organized health care education/training program in Santa Cruz, California and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1083461164

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELAINE ROLAND PHILLIPSCredential: MD

Location Address1555 SOQUEL DRSanta Cruz, CA 95065-1705

Mailing Address1411 E 31st St Fl 2Oakland, CA 94602-1018 · (510) 437-4401

Phone(831) 462-7700

Sole ProprietorYes

Enumeration DateMay 6, 2024

Last NPPES UpdateMay 7, 20252 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1083461164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 14582 (CA)

1555 SOQUEL DR, Santa Cruz, CA 95065

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Secondary Practice Location 1

Location 11411 E 31st St Fl 2Oakland, CA 94602-1018 · Phone (510) 437-4401 · Fax (510) 535-7313

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine Roland Phillips Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

MARK LAWRENCE RIGLER MD

Anesthesiology

1555 SOQUEL DR
SANTA CRUZ, CA 95065

Santa Cruz County (831) 462-7700

ELIZABETH JEAN MCINTIRE

Registered Nurse (Psychiatric/Mental Health, Adult)

1555 SOQUEL DR
SANTA CRUZ, CA 95065

Santa Cruz County (831) 462-7719

DR. JOHN GRADY D.O.

Emergency Medicine

1555 SOQUEL DR
SANTA CRUZ, CA 95065

Santa Cruz County (831) 462-7700

KELSEY LYNN MCKENNA DO

Student in an Organized Health Care Education/Training Program

1555 SOQUEL DR
SANTA CRUZ, CA 95065

Santa Cruz County (831) 462-7296

CECILIA LENG DO

Student in an Organized Health Care Education/Training Program

1555 SOQUEL DR
SANTA CRUZ, CA 95065

Santa Cruz County (931) 462-7296

CHRISTOPHER JOHN WESSELMAN M.D

Emergency Medicine

1555 SOQUEL DR, DOMINICAN HOSPITAL EMERGENCY DEPT
SANTA CRUZ, CA 95065

Santa Cruz County (831) 462-7710

JAMES DOUGLAS BERGUM CCP

Perfusionist

1555 SOQUEL DR
SANTA CRUZ, CA 95065

Santa Cruz County (855) 489-4580

KATHLEEN DEMPSEY

Nurse Practitioner

1555 SOQUEL DR
SANTA CRUZ, CA 95065

Santa Cruz County (831) 462-7730

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 Elaine Phillips's NPI number?

The NPI number for Elaine Phillips is 1083461164. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Elaine Phillips located?

Elaine Phillips practices at 1555 Soquel Dr, Santa Cruz, CA 95065. The listed phone number is (831) 462-7700.

What is Elaine Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elaine Phillips enrolled in Medicare?

Yes. Elaine Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elaine Phillips was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.