Individual provider Active NPI

Rose Ellen Parsons, M.M.S., P.A.-C.

  • Physician Assistant
  • Redwood City, CA
National Provider Identifier
1780915850
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20722 Issued in CA
Practice address
801 Brewster Ave Ste 240
Redwood City, CA 94063-1558
Phone
(650) 366-4585
Fax
(650) 366-3896
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20722 CA Primary

Addresses

Primary practice location

801 Brewster Ave Ste 240
Redwood City, CA 94063-1558

Mailing address

801 Brewster Ave Ste 240
Redwood City, CA 94063-1558
Phone (650) 366-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA20722CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1780915850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BREWSTER AVE STE 240",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631558",
            "telephone_number": "650-366-4585",
            "fax_number": "650-366-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BREWSTER AVE STE 240",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631558",
            "telephone_number": "650-366-4585",
            "fax_number": "650-366-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "ROSE",
        "middle_name": "ELLEN",
        "credential": "M.M.S., P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.