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

Mr. Glenn Phillips, PA

Individual provider Physician Assistant · NPI 1023090487

Mr. Glenn Phillips, PA is a Physician Assistant in Mission Viejo, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

23512 Madero
Mission Viejo, CA 92691-2743
Phone: (949) 583-1600
Fax: (949) 454-8067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 10513 (CA)

Record details

NPI number1023090487
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESMay 26, 2016

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