Ian Christopher So Parra

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2425 Issued in CA

Practice address

725 Washington Heights Rd Unit 23
El Cajon, CA 92019-3088

Phone

(619) 362-5391

NPI assigned

Jan 27, 2015

Reactivated

Apr 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1447640693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WASHINGTON HEIGHTS RD UNIT 23",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193088",
            "telephone_number": "619-362-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WASHINGTON HEIGHTS RD UNIT 23",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193088",
            "telephone_number": "619-362-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "IAN CHRISTOPHER",
        "middle_name": "SO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "deactivation_date": "2020-03-17",
        "reactivation_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "2425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIGNATUREVALUE ALLIANCE HMO",
            "identifier": "8326201-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lozen Parker Pittman
• Kristina Parker, PPS
• Parkside Healthcare, Inc.
• Parkside Special Care Center Inc
• Briana Parra
• Kathleen Parra, LVN
• Maritza Parra
• Breno Parsons
• Casey Parsons, RN
• Jennifer Marie Parsons

• Occupational Therapy Assistant in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.