Active NPI
John Kellogg Parsons, M.D.
- Urology Physician
- La Jolla, CA
National Provider Identifier
1760440101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A91156
- Practice address
- 3855 Health Sciences Drive #0987
Moores Ucsd Comprehensive Cancer Center
La Jolla, CA 92093-0987 - Phone
- (858) 822-6187
- Fax
- (858) 822-6188
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A91156 | CA | |
| Urology Physician | 208800000X | A91156 | CA | Primary |
Addresses
Primary practice location
3855 Health Sciences Drive #0987
Moores Ucsd Comprehensive Cancer Center
La Jolla, CA 92093-0987
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A911560 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Surgery | Current | Accepting new patients |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
3855 Health Sciences Dr
#987
La Jolla, CA 92093
Phone (858) 534-7079
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- San Diego, CA
- NPI 1740382993
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1760440101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 HEALTH SCIENCES DRIVE #0987",
"address_2": "MOORES UCSD COMPREHENSIVE CANCER CENTER",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920930987",
"telephone_number": "858-822-6187",
"fax_number": "858-822-6188"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARSONS",
"first_name": "JOHN",
"middle_name": "KELLOGG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A91156",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A91156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A911560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.