Individual provider Active NPI

Parker Elias McDonald

  • Chiropractor
  • Corona, CA
National Provider Identifier
1376436303
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37323 Issued in CA
Practice address
2250 S Main St
Corona, CA 92882-2534
Phone
(800) 595-2447
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37323 CA Primary

Addresses

Primary practice location

2250 S Main St
Corona, CA 92882-2534

Mailing address

4560 Garden City LN
Corona, CA 92883-0658
Phone (951) 258-9816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251217001662 CA Practitioner - Chiropractic 1557856531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Center of Corona IncGroup PAC ID 4981904737, 10 clinicians

Practice addresses (Care Compare)

2250 S Main St
Suite 203
Corona, CA 92882-2506
Phone (951) 737-1252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37323CAMDChiropractor
37323CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Center of Corona Inc. CurrentSince Sep 26, 2025 Accepting new patients
Pirritano Chiropractic Corporation Chiropractor PastSince Sep 26, 2025 Accepting new patients

Locations

2250 S Main St
Ste 203
Corona, CA 92882
Phone (800) 595-2447

9496 Magnolia Ave
Ste 201
Riverside, CA 92503
Phone (951) 737-1252

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1376436303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 GARDEN CITY LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830658",
            "telephone_number": "951-258-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822534",
            "telephone_number": "800-595-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "PARKER",
        "middle_name": "ELIAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.