Organization Active NPI

Richard Parks MD a Prof Corp

Doing business as Richard L Parks, MD A PC

  • Cardiovascular Disease Physician
  • Whittier, CA
National Provider Identifier
1356645048
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G47152 Issued in CA
Legal business name
RICHARD PARKS MD A PROF CORP
Doing business as
Richard L Parks, MD A PC
Practice address
12486 Washington Blvd
Whittier, CA 90602-3236
Phone
(562) 693-0756
Fax
(562) 693-2371
NPI assigned
Jan 10, 2011
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Richard L Parks, M.D.NPI 1295734507
Title
President
Phone
(562) 693-0756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12486 Washington Blvd
Whittier, CA 90602-3236

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00G47152MedicaidCA

Other names 1

  • Richard L Parks, MD A PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000550 CA Part B Supplier - Clinic/Group Practice 1456530278 Receives reassigned benefits from 2 practitioners
Practice locations: Whittier, CA

National Provider Directory

National Provider Directory
Tax ID family
Richard L Parks MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1356645048",
    "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": "906023236",
            "telephone_number": "562-693-0756",
            "fax_number": "562-693-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD PARKS MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-693-0756",
        "authorized_official_credential": "M.D."
    },
    "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": [
        {
            "organization_name": "Richard L Parks, MD A PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.