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

Phillip Brian Whittenberg, PAC

Individual provider Medical Physician Assistant · NPI 1053385054

Phillip Brian Whittenberg, PAC is a Physician Assistant in Las Vegas, Nevada. Qualified in 2002, 24 years ago. Practices with Optum Medical Group II Rhodes P C, a 302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Nevada.

Years since qualifying
24
Licensed in
ID, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone: (702) 877-5199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA751 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-845 (ID)

Record details

NPI number1053385054
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Optum Medical Group Ii Rhodes P C — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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