Individual provider Active NPI

Makabi Doris Parker, RN, BSN, PHN, MBA

  • Administrator Registered Nurse
  • San Bernardino, CA
National Provider Identifier
1558872473
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
732337 Issued in CA
Practice address
18245 Evening Primrose LN
San Bernardino, CA 92407-0481
Phone
(909) 584-3522
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 732337 CA Primary
Registered Nurse 163W00000X 732337 CA

Addresses

Primary practice location

18245 Evening Primrose LN
San Bernardino, CA 92407-0481

Mailing address

16155 Sierra Lakes Pkwy Ste 160-508
Fontana, CA 92336-1244
Phone (909) 584-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Business Administration, Registered Nurse

State licenses

LicenseStateTypeSpecialty
732337CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Rounds Transport, L.L.C PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1558872473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 SIERRA LAKES PKWY STE 160-508",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361244",
            "telephone_number": "909-584-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 EVENING PRIMROSE LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924070481",
            "telephone_number": "909-584-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MAKABI",
        "middle_name": "DORIS",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, PHN, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "732337",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "732337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.