NATHANIEL PARKER DO NPI 1366904963

NPI Information

  • NPI: 1366904963
  • Provider Name: NATHANIEL PARKER, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 TEJAS PL
    NIPOMO, CA
    ZIP 93444
  • Phone: (805) 929-3211

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NPI Details

Nathaniel Parker, DO is a family medicine in Nipomo, CA with 6 years of experience. 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. Nathaniel Parker, DO NPI is 1366904963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduation Year:2019

The provider's business location address is:

150 TEJAS PL
NIPOMO, CA
ZIP 93444-123
Phone: (805) 929-3211
Fax: (805) 929-6359

The NPI 1366904963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 8/26/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Q00000XFamily Medicine19493CALIFORNIAYes

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: 11/21/2025

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