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PARRA MEDICAL CLINIC INC. NPI 1710085055


NPI Information

NPI: 1710085055
Provider Name: PARRA MEDICAL CLINIC, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1023987

Address:
2820 ALUM ROCK AVE
SUITE 10
SAN JOSE, CA
ZIP 95127
Phone: (408) 254-5040
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PARRA MEDICAL CLINIC, INC. is a family medicine in San Jose, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PARRA MEDICAL CLINIC, INC. NPI is 1710085055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2820 ALUM ROCK AVE
SUITE 10
SAN JOSE, CA
ZIP 95127-608
Phone: (408) 254-5040
Fax: (408) 254-5044

The provider's authorized official is Caroline S. Parra .
The authorized official title is Office Manager and has the following contact phone number (408) 254-5040.

The CLIA number assigned to this NPI record is 05D1023987 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y08651MEDICARE UPINCALIFORNIA
2ZZZ28999ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER IDENTIFICATION
3ZZZ28999ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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