Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jolly Philip

Individual provider Family Medicine Physician · NPI 1487653556

Dr. Jolly Philip is a Family Practice in Belmont, California. Qualified in 1995, 31 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2005
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Practice location Address checks out

1301 Shoreway Rd Ste 100
Belmont, CA 94002-4110
Phone: (650) 596-7000
Fax: (650) 596-7093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 370 Summit St, Elgin, IL 60120-3843 — (847) 608-1344

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C52441 (CA)

Record details

NPI number1487653556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESJanuary 4, 2022
Mailing address3400 Data Dr, Attn: Credentialing/Payer Enrollment, Rancho Cordova, CA 95670-7956

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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