Individual provider Active NPI

Stephen Ac Parnell, M.D.

  • Gastroenterology Physician
  • Inglewood, CA
National Provider Identifier
1609968320
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G45223 Issued in CA
Practice address
501 E Hardy St
Suite 430
Inglewood, CA 90301-4054
Phone
(310) 671-7010
Fax
(310) 680-6855
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G45223 CA Primary

Addresses

Primary practice location

501 E Hardy St
Suite 430
Inglewood, CA 90301-4054

Mailing address

2501 Pesquera Dr
Los Angeles, CA 90049-1226
Phone (310) 680-6850

Other identifiers 1

IdentifierTypeStateIssuer
GR0027410MedicaidCA

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
I20110128000725 CA Practitioner - Gastroenterology 3274583778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Howard University College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coast Gastroenterology a Medical Group Inc.Group PAC ID 3870683683, 3 clinicians

Practice addresses (Care Compare)

501 E Hardy St
Suite 430
Inglewood, CA 90301-4069
Phone (310) 680-6850

Hospital & facility affiliations

  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy187
Upper gastrointestinal (GI) endoscopy for acid reflux75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centinela Valley Endoscopy Center Inc. PastSince Jan 22, 2005 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sparnell@cgmg.adaptamed.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1609968320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PESQUERA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491226",
            "telephone_number": "310-680-6850",
            "fax_number": "310-680-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "address_2": "SUITE 430",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014054",
            "telephone_number": "310-671-7010",
            "fax_number": "310-680-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "STEPHEN",
        "middle_name": "AC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G45223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0027410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.