Roberta Diane Parker, CADC LL

Primary specialty

SpecialistTaxonomy code 174400000X

License

A8449706 Issued in CA

Practice address

2914 Cold Springs Rd Ste a
Placerville, CA 95667-4220

Phone

(530) 642-1715

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700900958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 SERVICE CT APT B",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199277",
            "telephone_number": "530-295-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 COLD SPRINGS RD STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674220",
            "telephone_number": "530-642-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ROBERTA",
        "middle_name": "DIANE",
        "credential": "CADC LL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A8449706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC LL",
            "identifier": "A8449706",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsa Theresa Owens
• John C Palmer, D.C.
• Renee Marie Panec, RN
• Diana Park, PHARM.D
• Marvin F Parker, CAS I
• Amy Lynn Parsons, RN
• Malini Parthasarathi, PT
• Ruth Pascale-Jones, LMFT
• Benjamin Jarvis Passey, DDS
• Sean Patterson, D.C.

• Specialist in Placerville, CA
• Providers in Placerville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.