Active NPI
Parra Medical Clinic, Inc.
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1710085055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PARRA MEDICAL CLINIC, INC.
- Practice address
- 2820 Alum Rock Ave
Suite 10
San Jose, CA 95127-5608 - Phone
- (408) 254-5040
- Fax
- (408) 254-5044
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline S. Parra, N.P.
- Title
- Office Manager
- Phone
- (408) 254-5040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2820 Alum Rock Ave
Suite 10
San Jose, CA 95127-5608
Mailing address
2820 Alum Rock Ave
Suite 10
San Jose, CA 95127-5608
Phone (408) 254-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2820 Alum Rock Ave
Ste A
San Jose, CA 95127
2820 Alum Rock Ave
Ste 1
San Jose, CA 95127
2820 Alum Rock Ave
Ste 10
San Jose, CA 95127
Phone (408) 254-5040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Jose, CA
- NPI 1912922840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323388800000",
"number": "1710085055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 ALUM ROCK AVE",
"address_2": "SUITE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951275608",
"telephone_number": "408-254-5040",
"fax_number": "408-254-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 ALUM ROCK AVE",
"address_2": "SUITE 10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951275608",
"telephone_number": "408-254-5040",
"fax_number": "408-254-5044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARRA MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2011-12-09",
"status": "A",
"authorized_official_last_name": "PARRA",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "408-254-5040",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.