Active NPI
James T. Parker, M.D.
- Family Medicine Physician
- Stockton, CA
National Provider Identifier
1992881015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G047763
- Practice address
- 701 E Channel St
Channel Medical Center
Stockton, CA 95202-2628 - Phone
- (209) 944-4700
- Fax
- (209) 944-4795
- NPI assigned
- Oct 31, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G047763 | CA | Primary |
Addresses
Primary practice location
701 E Channel St
Channel Medical Center
Stockton, CA 95202-2628
Mailing address
PO Box 779
Channel Medical Center
Stockton, CA 95201-0779
Phone (209) 944-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190614002319 | CA | Order and Referring Only - Family Practice | 8628147832 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G047763 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1992881015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"address_2": "CHANNEL MEDICAL CENTER",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952010779",
"telephone_number": "209-944-4700",
"fax_number": "209-944-4795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E CHANNEL ST",
"address_2": "CHANNEL MEDICAL CENTER",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022628",
"telephone_number": "209-944-4700",
"fax_number": "209-944-4795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JAMES",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G047763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.