Individual provider Active NPI

Parker Andrew Duncan Diaz, MD, MPH, FAAFP

  • Addiction Medicine (Family Medicine) Physician
  • Santa Rosa, CA
National Provider Identifier
1033434923
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
A118268 Issued in CA
Practice address
751 Lombardi CT
Santa Rosa, CA 95407-6798
Phone
(707) 547-2222
Fax
(707) 547-2229
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X A118268 CA Primary

Addresses

Primary practice location

751 Lombardi CT
Santa Rosa, CA 95407-6798

Mailing address

3569 Round Barn Cir
Santa Rosa, CA 95403
Phone (707) 303-3600

Other practice location 1

3569 Round Barn Cir
Santa Rosa, CA 95403
Phone (707) 303-3600

Other practice location 2

625 Steele Ln
Santa Rosa, CA 95403-3127
Phone (707) 576-1852

Other practice location 3

926 Cherry St
Santa Rosa, CA 95404-4209
Phone (707) 867-6533

Other names 1

  • Dr. Parker Andrew Duncan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503001420 CA Practitioner - Family Practice 1850524422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

751 Lombardi CT
Santa Rosa, CA 95407-6798
Phone (707) 303-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A118268CAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers Current Accepting new patients
Santa Rosa Community Health Centers CurrentSince Mar 20, 2024 Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
Chico Feminist Women's Health Center Past Accepting new patients

Locations

3569 Round Barn Cir
Santa Rosa, CA 95403

751 Lombardi Ct
Santa Rosa, CA 95407
Phone (707) 547-2222

Interoperability endpoints

  • Direct secure messaging: pduncan209046@hisp.ehr.sutterhealth.org
  • Direct secure messaging: pduncandiaz627515@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1033434923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-303-3600",
            "fax_number": "707-583-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LOMBARDI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076798",
            "telephone_number": "707-547-2222",
            "fax_number": "707-547-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3569 Round Barn Cir",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "95403",
            "country_code": "US",
            "telephone_number": "707-303-3600",
            "fax_number": "707-303-3611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Steele Ln",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954033127",
            "country_code": "US",
            "telephone_number": "707-576-1852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "926 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044209",
            "country_code": "US",
            "telephone_number": "707-867-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN DIAZ",
        "first_name": "PARKER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FAAFP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2023-10-18",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A118268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARKER",
            "last_name": "DUNCAN",
            "middle_name": "ANDREW",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.