MR. MICHAEL KENNETH PHILLIPS IDC
NPI 1790035707
Military Health Care Provider - Independent Duty Corpsman in Oceanside, CA

Q: What is Michael Phillips's NPI number?

The NPI number for Michael Phillips is 1790035707. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Q: What is Michael Phillips's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Michael Phillips was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 17, 2012

623 PUSAN DR, OCEANSIDE, CA 92058(847) 912-8212 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Michael Kenneth Phillips Idc NPPES

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

MR. MICHAEL KENNETH PHILLIPS IDC (NPI 1790035707) is an individual independent duty corpsman provider in Oceanside, California and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1790035707

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. MICHAEL KENNETH PHILLIPSCredential: IDC

Location Address623 PUSAN DROceanside, CA 92058-8149

Mailing Address623 Pusan DrOceanside, CA 92058-8149 · (847) 912-8212

Phone(847) 912-8212

Sole ProprietorNo

Enumeration DateSeptember 17, 2012

Last NPPES UpdateMay 1, 2013

✔ NPI 1790035707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

623 PUSAN DR, Oceanside, CA 92058

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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 Michael Phillips's NPI number?

The NPI number for Michael Phillips is 1790035707. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Michael Phillips located?

Michael Phillips practices at 623 Pusan Dr, Oceanside, CA 92058. The listed phone number is (847) 912-8212.

What is Michael Phillips's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Michael Phillips was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.