Parnell Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G18571 Issued in CA

Legal business name

PARNELL MEDICAL CORPORATION

Doing business as

Cosmetic & Laser Surgery Institute

Practice address

1100 S Eliseo Dr
Suite 2
Greenbrae, CA 94904-2017

Phone

(415) 461-1036

Fax

(415) 461-1043

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Diana Deangelis Parnell, M.D.

Title

Owner

Phone

(415) 461-1036

Specialties & licenses 1

Addresses

Other names 1

• Cosmetic & Laser Surgery Institute Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ariel Elkins, BA, BS, MSN, FNP

  • Family Nurse Practitioner
  • Kentfield, CA
  • NPI 1558768069
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1366530099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR",
            "address_2": "SUITE 2",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-461-1036",
            "fax_number": "415-461-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S ELISEO DR",
            "address_2": "SUITE 2",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042017",
            "telephone_number": "415-461-1036",
            "fax_number": "415-461-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARNELL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "DEANGELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-461-1036",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G18571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic & Laser Surgery Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger L Pancoska, D.D.S.
• Kristin L Pappas, M.D.
• Beau Yun Park, M.D.
• Marion Garrett Parke, DPM
• Lindsay Jacqueline Parker
• Diana Deangelis Parnell, M.D.
• Francis William Parnell, M.D.
• Leonard Arnel Pascua
• Bansuri Patel-Thakkar, DO
• Sujatha Pathi, M.D.

• Dermatology Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.