NPIMap

Individual provider Active NPI

Andrea Jean Parmelee, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Ventura, CA
National Provider Identifier
1790796217
Registry record updated Jul 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G51422 Issued in CA
Practice address
3442 Loma Vista Rd
Ste C
Ventura, CA 93003-3086
Phone
(805) 642-8107
Fax
(805) 642-0964
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G51422 CA Primary

Addresses

Primary practice location

3442 Loma Vista Rd
Ste C
Ventura, CA 93003-3086

Mailing address

3442 Loma Vista Rd
Ste C
Ventura, CA 93003-3086
Phone (805) 642-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000457 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8426070657 Practice locations: Ventura, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1286 Weymouth LN
Ventura, CA 93001-4052
Phone (805) 653-0390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Past Accepting new patients
Community Memorial Health System Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501286400000",
    "number": "1790796217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 LOMA VISTA RD",
            "address_2": "STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033086",
            "telephone_number": "805-642-8107",
            "fax_number": "805-642-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 LOMA VISTA RD",
            "address_2": "STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033086",
            "telephone_number": "805-642-8107",
            "fax_number": "805-642-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELEE",
        "first_name": "ANDREA",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G51422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.