Denise Lynette Parnell, M.D.
Individual provider Active NPI Internal Medicine Physician · Spring Valley, CA
NPI 1366477648 · NPPES record last updated Oct 27, 2008
Key facts
- NPI
- 1366477648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- CAG78556 (CA)
- Practice address
- 8788 Jamacha Rd
Spring Valley, CA 91977-4035 - Phone
- (619) 515-2300
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121119000274 | CA | Order and Referring Only - Internal Medicine |
9931280476 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAG78556 | CA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CAG78556 | CA | Yes |
Addresses
Primary practice location
8788 Jamacha Rd
Spring Valley, CA 91977-4035
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Other providers in Spring Valley, CA
- Libeth Osborne
- Andrea Padilla
- Michelle Lynn Page
- Michael Ryan Pankey
- Roxanne Nicole Pardo
- Jesica Pastrana
- Marissa A Pastrana
- Priyanka Pathak
- Adrienne Pelkey
- Mary Catherine Peltier
All providers in Spring Valley, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.