Parvez S. Islam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C51863 Issued in CA

Practice address

508 Gibson Dr
Suite 110
Roseville, CA 95678-5794

Phone

(916) 783-1080

Fax

(916) 783-1090

NPI assigned

Nov 1, 2006

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Ocean Medical PC

  • Clinic/Center
  • Tillamook, OR
  • NPI 1083698724
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1477631109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR",
            "address_2": "SUITE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785794",
            "telephone_number": "916-783-1080",
            "fax_number": "916-783-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR",
            "address_2": "SUITE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785794",
            "telephone_number": "916-783-1080",
            "fax_number": "916-783-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "PARVEZ",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51863",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "C51863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C518630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janel Isaac
• Jeanine L Isenhoff, ANP-BC
• Katherine M Ishee
• Kalei Elaine Iskades
• Arshia D. Islam, MD
• Faryal Ismatt, DDS
• Michael Brad Ito, MPT
• Thomas Vincent Ito, M.P.T.
• Anastasiia Iurchishina
• Vesna Ivancic Cochell, MD

• Internal Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.