Individual provider Active NPI

Richard L Parks, M.D.

  • Cardiovascular Disease Physician
  • Whittier, CA
National Provider Identifier
1295734507
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G47152 Issued in CA
Practice address
12486 Washington Blvd
Whittier, CA 90602-1005
Phone
(562) 693-0756
Fax
(562) 693-2371
NPI assigned
Jul 19, 2005
Reactivated
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G47152 CA Primary

Addresses

Primary practice location

12486 Washington Blvd
Whittier, CA 90602-1005

Mailing address

12486 Washington Blvd
Whittier, CA 90602-1005
Phone (562) 693-0756

Other identifiers 1

IdentifierTypeStateIssuer
00G47152MedicaidCA

Other names 1

  • Richard Parks MD a Prof Corp Professional 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
I20110126000701 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1355520180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
University of Wisconsin School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12486 Washington Blvd
Whittier, CA 90602-1005

8038 Painter Ave
Whittier, CA 90602-2507
Phone (562) 693-0756

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Coast Plaza Hospital Hospital, Norwalk, CA, CCN 050771

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Parks MD a Prof Corp Cardiovascular Disease CurrentSince Jun 30, 2010 Accepting new patients
Modern Nuclear, Inc. Past Accepting new patients
Richard L Parks M.D. PC Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients

Locations

8038 Painter Ave
Whittier, CA 90602
Phone (562) 693-0756

12486 Washington Blvd
Whittier, CA 90602
Phone (562) 693-0756

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1295734507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12486 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-693-0756",
            "fax_number": "562-693-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12486 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-693-0756",
            "fax_number": "562-693-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-10-07",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G47152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G47152",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "PARKS MD A PROF CORP",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.