Active NPI
Jerry Michael Parker, MD
- Urology Physician
- Montery, CA
National Provider Identifier
1831204130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G8322
- Practice address
- 1001 Pacific Street
Montery, CA 93940-4453 - Phone
- (831) 373-4363
- Fax
- (831) 373-6457
- NPI assigned
- Aug 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G8322 | CA | Primary |
Addresses
Primary practice location
1001 Pacific Street
Montery, CA 93940-4453
Mailing address
1001 Pacific Street
Montery, CA 93940-4453
Phone (831) 373-4363
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902609983 | Other | CA | TRICARE |
| 942609983 | Other | CA | BLUE CROSS |
| 942609983 | Other | CA | TRICARE TRIWEST |
| 000G83220 | Other | CA | BLUE SHIELD |
| 000G83220 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8322 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1831204130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PACIFIC STREET",
"city": "MONTERY",
"state": "CA",
"postal_code": "939404453",
"telephone_number": "831-373-4363",
"fax_number": "831-373-6457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PACIFIC STREET",
"city": "MONTERY",
"state": "CA",
"postal_code": "939404453",
"telephone_number": "831-373-4363",
"fax_number": "831-373-6457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JERRY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G8322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "902609983",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "942609983",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE TRIWEST",
"identifier": "942609983",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000G83220",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G83220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.