Active NPI
Aaron U Parnell, ACST
- Physical Medicine & Rehabilitation Physician
- San Mateo, CA
National Provider Identifier
1629611405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 00000000001
- Practice address
- 407 N San Mateo Dr
San Mateo, CA 94401-2417 - Phone
- (415) 516-4358
- NPI assigned
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 00000000001 | CA | Primary |
Addresses
Primary practice location
407 N San Mateo Dr
San Mateo, CA 94401-2417
Mailing address
407 N San Mateo Dr
San Mateo, CA 94401-2417
Phone (415) 516-4358
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000001 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1629611405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012417",
"telephone_number": "415-516-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012417",
"telephone_number": "415-516-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARNELL",
"first_name": "AARON",
"middle_name": "U",
"name_prefix": "Mr.",
"credential": "ACST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "00000000001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.