Walter Parham, MA EDUCATION

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

58923 Business Center Dr Ste E
Yucca Valley, CA 92284-7311

Phone

(760) 365-7209

NPI assigned

Nov 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Lutheran Social Services of Southern California

  • Case Manager/Care Coordinator
  • Yucca Valley, CA
  • NPI 1437555117
  NPD (past)

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992059760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR SUITE E",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-365-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR STE E",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847311",
            "telephone_number": "760-365-7209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rosaschi Rd",
            "address_purpose": "LOCATION",
            "city": "Yerington",
            "state": "NV",
            "postal_code": "894478722",
            "country_code": "US",
            "telephone_number": "775-392-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "WALTER",
        "credential": "MA EDUCATION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992059760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Rae F Packard
• Elayne Padilla
• Daniel Pak
• Salvatore Rafael Palomino
• Ariel S Park
• Deborah Parker, RN
• Howard Eugene Parker, DPM
• Robert E Parker, PHD
• Hiren R Patel, M.D.

• All providers in Yucca Valley, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.