Phoenix Horizon Medical Corp
NPI 1457167306ActiveOrganization· Surgery· Roseville, CA
Surgery in Roseville, California, registered in NPPES in December 2024. The authorized official on file is Wynter Nigel Phoenix, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457167306 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2024 |
| Last updated in NPPES | Feb 23, 2026 |
| Certified by provider | Feb 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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