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

Phillip Archie Edwards

Individual provider Community Health Worker · NPI 1063989655

Phillip Archie Edwards is a Community Health Worker in Santa Rosa, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1120 Gordon Ln
Santa Rosa, CA 95404-5636
Phone: (707) 527-3249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1063989655
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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