Organization Active NPI

Peter Jahangir Parker, MD, Inc.

Doing business as Peter J Parker MD

  • Allergy & Immunology Physician
  • Glendale, CA
National Provider Identifier
1720290364
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A44924 Issued in CA
Legal business name
PETER JAHANGIR PARKER, MD, INC.
Doing business as
Peter J Parker MD
Practice address
1106 W Glenoaks Blvd
Glendale, CA 91202-2606
Phone
(818) 546-2626
Fax
(818) 546-1056
NPI assigned
May 4, 2007
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Selina Rodriguez, MA
Title
Credentialing
Phone
(818) 546-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A44924 CA Primary

Addresses

Primary practice location

1106 W Glenoaks Blvd
Glendale, CA 91202-2606

Mailing address

P.O. Box 5108
Glendale, CA 91221-2108
Phone (818) 546-2626

Other practice location 1

1100 W Glenoaks Blvd
Glendale, CA 91202-2606
Phone (818) 242-3333

Other identifiers 2

IdentifierTypeStateIssuer
W17807BMedicaidCA
AW872BMedicaidCA

Other names 1

  • Peter J Parker MD Doing business as

National Provider Directory

National Provider Directory

Locations

414 N Camden Dr
Ste 975
Beverly Hills, CA 90210
Phone (310) 247-0344

1106 W Glenoaks Blvd
Glendale, CA 91202
Phone (818) 546-2626

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1720290364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912212108",
            "telephone_number": "818-546-2626",
            "fax_number": "818-546-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022606",
            "telephone_number": "818-546-2626",
            "fax_number": "818-546-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Glenoaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912022606",
            "country_code": "US",
            "telephone_number": "818-242-3333",
            "fax_number": "818-552-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PETER JAHANGIR PARKER, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "818-546-2626",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A44924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W17807B",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AW872B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter J Parker MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peter J Parker MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.