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RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP
NPI 1104205400
Family Medicine - Geriatric Medicine in Philadelphia, PA

Active since May 20, 2015
4190 CITY AVE, PCOM - ROWLAND HALL, ROOM 528, PHILADELPHIA, PA 19131(949) 366-1053(949) 544-7880 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, Aug 1, 2024 (2 updates tracked since 2024).

About Residentialist Housecall Med Grp, Pc A Pennsylvania Corp NPPES

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

RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP (NPI 1104205400) is a healthcare organization registered as a geriatric medicine in Philadelphia, Pennsylvania and active in the NPI registry since May 2015. The organization lists Marie Walton, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1104205400
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameRESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP
Location Address4190 CITY AVE, PCOM - ROWLAND HALL, ROOM 528Philadelphia, PA 19131-1626
Mailing Address3800 Kilroy Airport Way Ste 270Long Beach, CA 90806-2497 · (949) 366-1053 · Fax (949) 916-0387
Phone(949) 366-1053
Fax(949) 544-7880
Organization SubpartNo
Authorized OfficialMarie WaltonBilling Manager · (949) 366-1053
Enumeration DateMay 20, 2015
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1104205400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in PA · OS017618
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
4190 CITY AVE, Philadelphia, PA 19131
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ZEEL HEMANTBHAI PATEL M.B.B.S
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. LAUREN NOTO BELL D.O.
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6425
DR. ANDREW JOSEPH SZABO D.O.
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. STEPHEN CHARLES SIZER D.O.
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
DR. SVETLANA FELDMAN
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
MAREN LEIGH DOWNING DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (803) 587-9327
ENT R NET, P A
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-0060
DR. LEE ANN BRODZIK D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800

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 Residentialist Housecall Med Grp, PC A Pennsylvania Corp's NPI number?

The NPI number for Residentialist Housecall Med Grp, PC A Pennsylvania Corp is 1104205400. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Residentialist Housecall Med Grp, PC A Pennsylvania Corp located?

Residentialist Housecall Med Grp, PC A Pennsylvania Corp is located at 4190 City Ave Pcom - Rowland Hall, Room 528, Philadelphia, PA 19131. The listed phone number is (949) 366-1053.

What is Residentialist Housecall Med Grp, PC A Pennsylvania Corp's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Residentialist Housecall Med Grp, PC A Pennsylvania Corp was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.