Individual provider Active NPI

Michael Parmley, M.D.

  • Internal Medicine Physician
  • Newark, CA
National Provider Identifier
1609873074
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65290 Issued in CA
Practice address
6236 Thornton Ave
Newark, CA 94560-3732
Phone
(510) 248-1860
Fax
(510) 797-0236
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65290 CA Primary

Addresses

Primary practice location

6236 Thornton Ave
Newark, CA 94560-3732

Mailing address

6236 Thornton Ave
Newark, CA 94560-3732
Phone (510) 248-1860

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080915000033 CA Practitioner - Internal Medicine 1951477090 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65290CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation Internal Medicine CurrentSince Nov 1, 2010 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Feb 24, 2018 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 24, 2018 Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Visalia Medical Clinic, Inc. Internal Medicine Current Accepting new patients
Washington Township Medical Foundation CurrentSince Nov 1, 2010 Accepting new patients
Kaweah Delta Health Care Inc Current Accepting new patients

Locations

3400 Delta Fair Blvd
Antioch, CA 94509
Phone (925) 779-5000

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2557 Mowry Ave
Ste 10
Fremont, CA 94538
Phone (510) 248-1843

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

6236 Thornton Ave
Newark, CA 94560
Phone (510) 248-1860

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 7

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1609873074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 THORNTON AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603732",
            "telephone_number": "510-248-1860",
            "fax_number": "510-797-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 THORNTON AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603732",
            "telephone_number": "510-248-1860",
            "fax_number": "510-797-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMLEY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3400 Delta Fair Blvd",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945094004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

Verify at the official NPI Registry.