Individual provider Active NPI

Alexander Parker, DO

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1689254096
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101027891 Issued in MI
Practice address
1400 E Church St
Santa Maria, CA 93454-5906
Phone
(805) 739-3374
NPI assigned
Apr 9, 2021
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 5101027891 MI Primary

Addresses

Primary practice location

1400 E Church St
Santa Maria, CA 93454-5906

Mailing address

1400 E Church St
Santa Maria, CA 93454-5906

Other practice location 1

2400 Miami Valley Dr Ste 160
Centerville, OH 45459-4774
Phone (937) 312-1661

Other practice location 2

1715 Brown St Ste 350
Dayton, OH 45409-2502
Phone (937) 567-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240808000974 MI Practitioner - Family Practice 7113464199 Reassigns benefits to 1 organization
I20251001003755 OH Practitioner - Family Practice 7113464199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2400 Miami Valley Dr
Suite 160
Centerville, OH 45459-4774
Phone (937) 312-1661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101027891MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Premier Health Specialists Inc Family Medicine CurrentSince Oct 27, 2025 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Premier Health Specialists Inc CurrentSince Oct 27, 2025 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

2400 Miami Valley Dr
Ste 160
Centerville, OH 45459
Phone (937) 312-1661

1715 Brown St
Ste 350
Dayton, OH 45409
Phone (937) 567-6170

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 6

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1689254096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-739-3374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Miami Valley Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594774",
            "country_code": "US",
            "telephone_number": "937-312-1661",
            "fax_number": "937-312-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 Brown St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092502",
            "country_code": "US",
            "telephone_number": "937-567-6170",
            "fax_number": "937-641-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101027891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.