Julia C Parker, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22187 Issued in CA

Practice address

504 W Pueblo St Ste 102
Santa Barbara, CA 93105-6211

Phone

(805) 682-6455

Fax

(805) 687-1482

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Marin Dermatology Inc 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.43 of 100Reported as group

Quality

80.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jmckenzie@directaddress.net
• Direct secure messaging: jmckinzie@westderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Marin Dermatology, Inc.

  • Dermatology Physician
  • Sausalito, CA
  • NPI 1487090924

  CA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1235408352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652853",
            "telephone_number": "512-413-4890",
            "fax_number": "415-887-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W PUEBLO ST STE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056211",
            "telephone_number": "805-682-6455",
            "fax_number": "805-687-1482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 S College Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934551304",
            "country_code": "US",
            "telephone_number": "805-934-1230",
            "fax_number": "805-934-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Calloway Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933122513",
            "country_code": "US",
            "telephone_number": "661-410-7546",
            "fax_number": "661-410-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Viborg Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Solvang",
            "state": "CA",
            "postal_code": "934633226",
            "country_code": "US",
            "telephone_number": "805-724-2343",
            "fax_number": "805-617-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JULIA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1100356",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace E Park, M.D.
• Jun Park, D.D.S.
• Madeline Park
• Ronald V Park II, MA
• Erica Maya Parker
• Kathleen Parker, AUD
• Tanya M Parker, LCSW
• Brad William Parks, LCSW
• Vanessa Gabriela Parmenter
• Anne Parry, RN, PHN

• All providers in Santa Barbara, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.