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PHILOMINA EYONG PA
NPI 1164560264
Physician Assistant - Medical in Santa Monica, CA

Active since February 01, 2007PECOS Enrolled
1711 OCEAN PARK BLVD, SANTA MONICA, CA 90405(310) 450-2191(310) 450-0873 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philomina Eyong Pa NPPES

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

PHILOMINA EYONG PA (NPI 1164560264) is an individual medical provider in Santa Monica, California, licensed in Alabama (PA 13728) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164560264
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePHILOMINA EYONGCredential: PA
Location Address1711 OCEAN PARK BLVDSanta Monica, CA 90405-4901
Mailing Address7 Pepperwood CirPomona, CA 91766-4742 · (909) 622-7933
Phone(310) 450-2191
Fax(310) 450-0873
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164560264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AL · PA 13728
1711 OCEAN PARK BLVD, Santa Monica, CA 90405
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedPA 13728CA · Physician Assistant

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philomina Eyong Pa 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 10

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

PATRICIA CATHERINE CHATFIELD RNP
Nurse Practitioner (Pediatrics)
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 450-2191
MS. WHITNEY A REYNOLDS FNP
Nurse Practitioner (Primary Care)
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 728-0015
LEE CHAIDEZ MANCILLA PA-C
Physician Assistant
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 450-4773
POSITRON KEBEBEW M.D.
Family Medicine
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 450-4773
STACEY ANN NADLER RNP
Nurse Practitioner (Family)
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 450-4773
MADELYNN STACEY FINKELSTEIN RNP
Nurse Practitioner (Family)
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 450-2191
DR. SHIRLEY XIAOMEI XU MD
Family Medicine
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 450-4773
BRETTNEY DAUGHERTY N.P., D.N.P.
Nurse Practitioner (Primary Care)
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 450-2191

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 Philomina Eyong's NPI number?

The NPI number for Philomina Eyong is 1164560264. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Philomina Eyong located?

Philomina Eyong practices at 1711 Ocean Park Blvd, Santa Monica, CA 90405. The listed phone number is (310) 450-2191.

What is Philomina Eyong's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Philomina Eyong enrolled in Medicare?

Yes. Philomina Eyong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philomina Eyong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.