Individual provider Active NPI

Marikit B Parker, MD

  • Family Medicine Physician
  • Fairfield, CA
National Provider Identifier
1689013195
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
150359 Issued in CA
Practice address
1101 B Gale Wilson Blvd Ste 101C
Fairfield, CA 94533-3771
Phone
(707) 419-8990
Fax
(707) 254-1779
NPI assigned
Jun 18, 2013
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 150359 CA Primary

Addresses

Primary practice location

1101 B Gale Wilson Blvd Ste 101C
Fairfield, CA 94533-3771

Mailing address

1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone (707) 254-1770

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
I20170906000767 CA Practitioner - Family Practice 0648401612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ole HealthGroup PAC ID 7315934767, 9 clinicians

Practice addresses (Care Compare)

1101 B Gale Wilson Blvd
Suite 101C
Fairfield, CA 94533-3771
Phone (707) 419-8990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150359CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Sep 1, 2020 Accepting new patients
Ole Health Multi-Specialty CurrentSince Sep 1, 2020 Accepting new patients
Northbay Healthcare Group Multi-Specialty CurrentSince Aug 8, 2017 Accepting new patients
Northbay Healthcare Group Multi-Specialty CurrentSince Aug 8, 2017 Accepting new patients
Northbay Healthcare Group Multi-Specialty Current Accepting new patients
Ole Health Past Accepting new patients
Ole Health Multi-Specialty Past Accepting new patients

Locations

1101 B Gale Wilson Blvd
Ste 101C
Fairfield, CA 94533
Phone (707) 419-8990

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

470 Chadbourne Rd
Ste A
Fairfield, CA 94534
Phone (707) 419-8989

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

Interoperability endpoints

  • Direct secure messaging: mparker675939@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1689013195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586485",
            "telephone_number": "707-254-1770",
            "fax_number": "707-254-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 B GALE WILSON BLVD STE 101C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333771",
            "telephone_number": "707-419-8990",
            "fax_number": "707-254-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARIKIT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "150359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.