Active NPI
David Marion Parham III, MD
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- E-0597
- Practice address
- 4650 W Sunset Blvd
Los Angeles, CA 90027-6062 - Phone
- (323) 361-3550
- Fax
- (323) 361-8052
- NPI assigned
- May 25, 2006
- Last updated
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C128115 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | E-0597 | AR | Primary |
| Pediatric Pathology Physician | 207ZP0213X | E-0597 | AR |
Addresses
Primary practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Mailing address
3701 Wilshire Blvd Ste 600
Los Angeles, CA 90010-2814
Phone (323) 361-3550
Other practice location 1
1 Childrens Way # 820
Little Rock, AR 72202-3500
Phone (501) 364-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128057001 | Medicaid | AR | |
| C128115 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C128115 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Children's Hospital | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Current | Accepting new patients | |
| Arkansas Childrens Professional Services Organization LLC | Current | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
#664
Little Rock, AR 72202
Phone (501) 364-2530
1 Childrens Way
#820
Little Rock, AR 72202
Phone (501) 364-1890
1 Childrens Way
Ste 653
Little Rock, AR 72202
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
800 Marshall St
#653
Little Rock, AR 72202
Phone (501) 354-1100
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ACH Physicians Billing Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1629889464
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
dba MCPG Midwife Services
- Advanced Practice Midwife
- Little Rock, AR
- NPI 1043372220
-
dba Schmieding Developmental Center
- Developmental - Behavioral Pediatrics Physician
- Lowell, AR
- NPI 1407021280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1033165899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 WILSHIRE BLVD STE 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102814",
"telephone_number": "323-361-3550",
"fax_number": "323-361-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-3550",
"fax_number": "323-361-8052"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Way # 820",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722023500",
"country_code": "US",
"telephone_number": "501-364-1100",
"fax_number": "501-364-4082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARHAM",
"first_name": "DAVID",
"middle_name": "MARION",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C128115",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AR",
"license": "E-0597",
"primary": true
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "AR",
"license": "E-0597",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128057001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C128115",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.