PHILIP JOSEPH FONSECA
NPI 1164124376
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 21, 2023PECOS Enrolled
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(323) 783-6399 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip Joseph Fonseca NPPES

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

PHILIP JOSEPH FONSECA (NPI 1164124376) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164124376
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILIP JOSEPH FONSECA
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateJune 28, 2023
NPPES CertifiedMarch 20, 2023
NPI 1164124376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Philip Joseph Fonseca 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.

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.

Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027

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 Philip Fonseca's NPI number?

The NPI number for Philip Fonseca is 1164124376. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Philip Fonseca located?

Philip Fonseca practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (323) 783-6399.

What is Philip Fonseca's specialty?

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

Is Philip Fonseca enrolled in Medicare?

Yes. Philip Fonseca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Fonseca was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.