Individual provider Active NPI

David Jay Parks, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Beverly Hills, CA
National Provider Identifier
1841381688
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
G78517 Issued in CA
Practice address
8920 Wilshire Blvd
Suite 500
Beverly Hills, CA 90211-2007
Phone
(310) 289-3666
Fax
(310) 289-8908
NPI assigned
Sep 27, 2006
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G78517 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X G78517 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd
Suite 500
Beverly Hills, CA 90211-2007

Mailing address

8920 Wilshire Blvd
Suite 500
Beverly Hills, CA 90211-2007
Phone (310) 289-3666

Other identifiers 2

IdentifierTypeStateIssuer
00G785170MedicaidCA
1841381688OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050127000308 CA Practitioner - Ophthalmology 9335114149 Reassigns benefits to 1 organization
Practice locations: Beverly Hills, CA; Lancaster, CA
I20181026001305 GU Practitioner - Ophthalmology 9335114149 Reassigns benefits to 1 organization
Practice locations: Tamuning, GU

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

633 Gov Carlos G Camacho Rd
Suite 204
Tamuning, GU 96913-3195
Phone (671) 649-3937

8920 Wilshire Blvd
Beverly Hills, CA 90211-1949
Phone (310) 289-3666

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78517CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Eye Medical Group, Inc. Ophthalmology CurrentSince Jul 31, 1998 Accepting new patients
Sir Akoma Medical Services Past Accepting new patients
Greater Los Angeles Oncology Medical Corporation PastSince Jul 31, 1998 Accepting new patients
Cedars-Sinai Medical Center PastSince Jan 1, 2014 Accepting new patients

Locations

1700 E Cesar E Chavez Ave
Ste 2400
Los Angeles, CA 90033
Phone (323) 263-6774

1828 E Cesar E Chavez Ave
Ste 6500
Los Angeles, CA 90033
Phone (323) 263-6774

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1841381688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD",
            "address_2": "SUITE 500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112007",
            "telephone_number": "310-289-3666",
            "fax_number": "310-289-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD",
            "address_2": "SUITE 500",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112007",
            "telephone_number": "310-289-3666",
            "fax_number": "310-289-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G78517",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G78517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G785170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841381688",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.